[关节挛缩患者的麻醉]。

Anestezjologia intensywna terapia Pub Date : 2011-04-01
Ewa Górnik-Właszczuk, Jacek Majewski, Rafał Szczygieł, Jarosław Kurak
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引用次数: 0

摘要

关节挛缩是一种罕见的先天性综合征,其特征是多处关节挛缩。患有这种疾病的儿童通常需要手术干预来纠正肌肉骨骼异常。可能遇到的问题包括气道困难、肌病、周围静脉放置困难以及术中高温的可能性。在上述三个病例中,我们使用硫喷妥和顺式阿曲库铵诱导麻醉,然后用一氧化二氮和芬太尼维持麻醉。在一个案例中还使用了七氟醚。插管或热疗均无问题。
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[Anaesthesia in patients with arthrogryposis].

Arthrogryposis is a rare congenital syndrome, characterised by multiple joint contractures. Children suffering from this disease often need surgical interventions to correct musculoskeletal abnormalities. Among problems which may be encountered are a difficult airway, myopathy, difficulties with peripheral iv placement, and the possibility of intraoperative hyperthermia. In three described cases, we used thiopentone and cis-atracurium to induce anaesthesia, which was then maintained with nitrous-oxide and fentanyl. In one case sevoflurane was also used. No problems with intubation or hyperthermia were encountered.

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