接受配西汀(Meperidine)注射作為術後止痛後發生腦部暫時性缺血而導致二氧化碳滯留及血氧不足之病例報告

Postoperative Transient Ischemic Attack Complicated by C02 Retention and Hypoxemia in a Patient Receiving Meperidine Injection for Postoperative Pain Relief

腦部暫時性缺血甚至於中風在手術過後發生的情形時有所聞。如果處置不當，很容易造成無可補救的傷害。會於術後發生腦部暫時性缺血或中風的病人通常本身都有一些疾病，且這些問題並沒有好好控制或解決。在此我們要報告一個術後二十四小時內發生腦部暫時性缺血症狀而未妥善處理而造成死亡的病例。除了正確的診斷之外，對病人術後的照顧及術後止痛藥物的選擇也是討論的重點。

Transient ischemic attack (TIA) or stroke is not a rare complication, particularly in aged patients after surgery and anesthesia. If it is not properly managed, unmendable injury may inevitably occur. Patients who experience postoperative TIA or stroke usually have underlying diseases without resolution or good control. We bring forward here for discussion a fatality due to unappropriately managed TIA, which occurred in a 72-year-old male, within 24 hours after surgery. Besides making accurate diagnosis, selection of drugs for pain relief and appropriate overall management are key points of discussion.