硬皮病患者的围手术期管理

Annales Francaises D Anesthesie Et De Reanimation Pub Date : 2014-12-01 DOI:10.1016/j.annfar.2014.09.008

E. Bégneu, M. Aïssou, T. Lescot, J.P. Cabane, M. Beaussier

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引用次数: 1

摘要

系统性硬化症(SSc)是一种以血管病变、微血管病变和组织胶原沉积相结合为特征的自身免疫性疾病，可导致皮肤、消化、肺、心肌和肾脏损伤。这些影响可能是麻醉师的挑战，并与气道管理困难，发生充血性右心衰或急性肾危象有关。本综述的目的是回顾SSc的生理病理和进展，并为这些患者的围手术期管理提供策略。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Prise en charge périopératoire du patient sclérodermique

Systemic sclerosis (SSc) is an auto-immune disease characterized by vasculopathy and the combination of microangiopathy and tissue collagen deposit leading to skin, digestive, pulmonary, myocardial and renal injuries. These repercussions could be challenging for anesthesiologists and associated with difficulties in airway management, and occurrence of congestive right heart failure or acute kidney crisis. The aim of this review is to review the physiopathology and the progression of the SSc, as well as to provide a strategy of perioperative management of these patients.

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