【全身麻醉合并Pierre Robin综合征并发脊柱侧凸1例】。

Ou Daigaku shigakushi Pub Date : 1990-07-01
N Matsukawa, T Hara, H Okada, J Baba
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引用次数: 0

摘要

我们经历了一例全身麻醉在一个一岁的男孩腭成形术与轻微的小颌,腭裂和脊柱侧凸。首次麻醉时,我们尝试用氟烷、氧中氧化亚氮缓慢诱导自主呼吸下口服插管2次,均未成功。易插管部位氯琥珀酰胆碱增高,支气管分泌物增多,手术延期。10个月后,再次计划相同的手术,使用与第一次麻醉相同的方法。由于这次插管比较容易,术中血压、心率稳定。麻醉后恢复得很顺利。从这个病例的经验来看,我们再次认识到术前呼吸管理对这些患者非常重要。
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[A case of general anesthesia with Pierre Robin syndrome and scoliosis].

We experienced a case of general anesthesia in a one-year-old boy for palate plasty with a slight micrognathia, cleft palate and scoliosis. At the first anesthesia, we tried two times oral intubation under the spontaneous respiration after slow induction with halothane, nitrous-oxide in oxygen, twice but were unsuccessful. In site of easy intubation with succinyl choline chloride rales and bronchial secretions increased and the operation was postponed. Ten months later, the same operation was planned and re-tried using same method as the first anesthesia. As this time, it was relatively easy to intubate, blood pressure and heart rate were stable during the operation. The recovery from anesthesia was smooth. From the experience of this case, we recognized again that preoperative respiration management was very important for these patients.

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