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微球囊压迫治疗三叉神经痛时的三叉神经抑制反应
引用本文:李岩峰,马逸,邹建军,张佩斯,王彬,黄海涛,韩立新. 微球囊压迫治疗三叉神经痛时的三叉神经抑制反应[J]. 中国微侵袭神经外科杂志, 2004, 9(3): 110-111
作者姓名:李岩峰  马逸  邹建军  张佩斯  王彬  黄海涛  韩立新
作者单位:1. 辽宁省人民医院神经外二科,辽宁,沈阳,110016
2. 兴城市人民医院外三科,辽宁,兴城,125100
摘    要:
目的探讨微球囊压迫(PMC)治疗三叉神经痛时的三叉神经抑制反应。方法对274例PMC治疗的三叉神经痛病人的临床资料进行分析。结果施行290次手术,观察到三叉神经抑制反应257次(89%),主要表现为心跳减慢(平均心跳减慢23次/min),其中3例出现一过性心脏停跳。结论三叉神经抑制反应是PMC治疗三叉神经痛过程中的一种常见现象。医生和麻醉师对此应有充分的了解,并从外科和药物方面做好处理的准备。

关 键 词:三叉神经痛  微球囊压迫  三叉神经抑制反应
文章编号:1009-122X(2004)03-0110-02
修稿时间:2003-10-29

Trigeminal depressor response during microcompression for trigeminal neuralgia
LI Yanfeng,MA Yi,ZUO Jianjun,et al. Trigeminal depressor response during microcompression for trigeminal neuralgia[J]. Chinese Journal of Minimally Invasive Neurosurgery, 2004, 9(3): 110-111
Authors:LI Yanfeng  MA Yi  ZUO Jianjun  et al
Affiliation:LI Yanfeng,MA Yi,ZUO Jianjun,et alDepartment of Neurosurgery,Liaoning Provencial Hospital,Shenyang 110016,China
Abstract:
Objective To discuss trigeminal depressor response occurred during percutaneous microcompression for trigeminal neuralgia. Methods 274 patients of trigeminal neuralgia undergone percutaneous microcompression procedures were reviewed. Results 257 trigeminal depressor responses were observed in the 289 procedures performed with main feature of abrupt drops in heart rate, and asystole occurred in 3 cases. Conclusion Trigeminal depressor response is very common during the procedures of percutaneous microcompression for trigeminal neuralgia. Surgeon and anaesthesist must always be aware of the potential for the trigeminal depressor response and both be prepared surgically and pharmacologically to treat the possible life-threatening consequences intraoperatively.
Keywords:trigeminal neuralgia  microcompression  trigeminal depressor response  
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