Pulseless Ventricular Tachycardia Triggered by Pain in a Patient with Severe Hypokalemia-A Case Report

一位嚴重低血鉀之病患因疼痛而引發無脈性心室頻脈之病例報告

康富期(Fu-Chi Kang) ； 王立楷(Li-Kai Wang) ； 陳應輝(Ying-Hui Chen) ； 蘇翔(Edmund C. So) ； 王志中(Jhi-Joung Wang)

《疼痛醫學雜誌》 15卷2期 (2005/09) Pp. 77-81

https://doi.org/10.29792/TTJP.200509.0005

摘要

嚴重低血鉀會引發足以危害生命的心律不整，已有眾多文獻足資證明。在嚴重低血鉀的情形下，若再加上本來就足以引起神經內分泌壓力反應與心律不整的疼痛，可能會造成更嚴重的心律不整，其影響不容忽視。我們要報告一位嚴重低血鉀病患於無麻醉情形之下更換紗布時，因為疼痛引起原本間歇性的心室心律不整進展為足以危害生命的無脈性心室頻脈。由本病例可知有效的疼痛控制對危急的病患極為重要。

關鍵字

疼痛 ； 低血鉀 ； 心室頻脈

並列摘要

The role of severe hypokalemia in triggering life-threatening ventricular arrhythmia is well documented. When severe hypokalemia is coupled with pain, which can not only induce neuroendocrine stress response but also cause arrhythmias, the impact should not be overlooked because aggravated arrhythmia may ensue. Here we report a case of a life-threatening ventricular tachycardia which was triggered from intermittent ventricular arrhythmia by pain during change of dressings on an unanesthetized patient with severe hypokalemia. This case illustrates the importance of effective pain management in critical patients.

並列關鍵字

Pain ； Hypokalemia ； Ventricular Tachycardia