肛门病手术中心动过缓综合征

Bradycardia Syndrome During Surgical Operation of Anal Diseases

报告并探讨肛门病手术过程中发生心动过缓综合征的机理与防治。骶麻下行肛门病手术10212例，术中发生心动过缓综合征31例，发生率0．3％。经积极处理后均缓解。肛门-心脏迷走反射中，71．7％心率减慢，27．1％心率加快，1．1％心率不变。肛门-心脏迷走反射是肛门病手术中心动过缓综合征的生理病理学基础，针对发病机理应采取对症处理。

The mechanism and prevention ＆ treatment of bradycardia syndrome during surgical treatment of anal diseases were reported and studied in the paper. Of the 10 212 cases who received surgical treatment of anal diseases with sacral anesthesia,bradycardia syndrome occurred in 31 cases（0.3%,31/10 212） during the operations. Bradycardia syndrome was all relieved after management. It is known that in anus-heart vagus reflex the heart rate slowed down in 71.7%,heart rate accelerated in 27.1% and unchanged in 1.1%. Anus-heart vagus reflex is the pathophysiological base which makes the bradycardia syndrome occur during surgical operations of anal diseases,thus appropriate treatment is needed.