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作者所遇到的室性综合征,特别是Wolff—Parkinson—White(WPW)综合征在需全身麻醉患者中所占比率为千分之1.2,本组共16例,年龄24～28岁。此种异常或于术前即已存在,或者是在术中或术后才发现。除有WPW型而外还有以短PR为特征的Lown—Ganong—Levine型。有的病例与注射三磷酸腺苷或阿托品有关。术中持续以心电图鉴测,无一例有血动力学改变,只一例出现140次/分短暂的心动过速;大多数随着麻醉的加深而QRS增宽,使予激综合征更为典型。一例用氟烷后征象消失,为节性心律所取代。予激综合征有三种类型:(1)Kent氏束引起的WPW型;(2)Lown—Ganong—Lovine
The authors have encountered room syndrome, especially Wolff-Parkinson-White (WPW) syndrome in patients requiring general anesthesia in the ratio of 1.2 per thousand, a total of 16 patients in this group, aged 24 to 28 years old. This anomaly or preoperative already exists, or only found during or after surgery. In addition to the WPW type there is a Lown-Ganong-Levine type characterized by a short PR. Some cases and injection of adenosine triphosphate or atropine related. Intraoperative continuous ECG, no case of hemodynamic changes, only one case of 140 beats / min transient tachycardia; most deepen with anesthesia and QRS broadening, the more so the irritable syndrome. A case of halothane disappeared after the signs of the rhythm of the heart to be replaced. There are three types of preeclamptic syndrome: (1) WPW caused by Kent’s beam; (2) Lown-Ganong-Lovine