Sugammadex成功麻醉治疗I型肌强直性营养不良1例

Suro Kim, H. Chun, J. Chung
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引用次数: 0

摘要

肌强直性营养不良(DM)是一种罕见的遗传性疾病。由于糖尿病患者的心源性和肺部问题的效力,麻醉是困难的,但一系列研究已经表明如何管理和避免并发症和情况。我们描述了一例33岁的男性患者,他因DM型化脓性汗腺炎被安排在左腋下进行选择性切除和活检。麻醉由异丙酚、瑞芬太尼和罗库溴铵诱导和维持。Sugammadex被用作神经肌肉阻滞的逆转剂。他在手术和急诊期间没有出现肌强直。他也没有出现术后肺部并发症。
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Successful Anesthetic Management of Myotonic Dystrophy Type I Using Sugammadex: A Case Report
Myotonic dystrophy (DM) is an uncommon inherited disease. Anesthesia for DM patients is tough due to its potency of cardiogenic and pulmonary problems, but a series of studies have shown how to manage and avoid complications and situations. We describe a case of a 33-year-old male patient who was scheduled for an elective excision & biopsy on the left axillae for hidradenitis suppurativa with DM type I. Anesthesia was induced and maintained with propofol, remifentanil, and rocuronium. Sugammadex is used as a reversal agent of neuromuscular blockade. He didn’t show myotonia during surgery and emergence. He also didn’t show postoperative pulmonary complications.
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