全身麻酔中, Paraplegiaの患者にみられたいわゆるmass reflexの1例

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タイトル別名
  • THE CASE OF SO-CALLED MASS REFLEX IN PARAPLEGIC PATIENT DURING GENERAL ANESTHESIA
  • ゼンシン マスイチュウ Paraplegia ノ カンジャ ニ ミラレタ イワ

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During general anesthesia with a modified neuroleptanesthesia in a 18 year old male with a spinal cord tumor, the authors experienced so-called mass reflex characterized by profound hypertension, increased pulse pressure and cutaneous flushing when the tumor was removed, and then arterial oxygen tension decreased from 171 to 90 in mercury.<BR>But we succeeded in overcoming the elevation of blood pressure with the alcuronium having a sympathetic ganglion blocking action.<BR>Generally we have been used a light anesthesia in paraplegics, but since such patients have these dangers this method induced the elevation in blood pressure was not desirable, and particularly a modified neuroleptanesthesia should not be used.

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