Résumé
Catecholamine-induced cardiomyopathy rarely occurs after local epinephrine infiltration. We experienced two patients with catecholamine induced cardiomyopathies. An 8-yr-old girl was scheduled for closed reduction of a nasal bone fracture. Propofol and rocuronium bromide were used for induction of anesthesia. After induction, lidocaine mixed with epinephrine was infiltrated to the block of supratrochlear and infraorbital nerves. About 10 sec later ventricular tachycardia, hypotension, hypoxemia, and pulmonary edema developed. The other case was a 23-yr-old woman with a nasal bone fracture. Propofol, rocuronium bromide, and fentanyl were used for the induction of anesthesia. After induction, epinephrine-containing wet gauze was packed in the nasal cavity for mucosal shrinkage. About 1 minute later, hypertension, tachycardia, and hypoxemia developed. After each operation, a transthorcic echo-cardiogram revealed hypokynesia of the myocardium.
Sujets)
Femelle , Humains , Androstanols , Anesthésie , Anesthésie générale , Hypoxie , Cardiomyopathies , Épinéphrine , Fentanyl , Hypertension artérielle , Hypotension artérielle , Lidocaïne , Myocarde , Os nasal , Fosse nasale , Propofol , Oedème pulmonaire , Chirurgie plastique , Tachycardie , Tachycardie ventriculaireRésumé
A 4 years and 8 months old girl had accidentally swallowed coins while playing on sofa. She immediately complained of a painful sensation in her throat and chest. Radiograph of the chest at a local clinic showed the coins located at the gastroesophageal junction. She was admitted to our hospital 24 hours after the accident, when her physical examinatioa was normal and the coins failed to be moved. One hour thereafter, two coins(500 won and 50 won) were dislodged from the gastroesophageal junction witb biopsy forceps:on gastroendoscope (Olympus GIF-Q10). The following day, she was discharged without complicaitions.