重症感冒凝集素疾病患者行全髋关节置换术的围手术期处理一例。

IF 0.5 A&A Practice Pub Date : 2022-12-01 DOI:10.1213/XAA.0000000000001647

Takumi Yamaguchi, Hiroyuki Hirate, Taiki Kusano, Yukiko Inagaki

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摘要

患者冷凝素病谁接受全髋关节置换术(THA)是罕见的。冷凝集素病患者对寒冷的环境温度非常敏感，需要严格的围手术期体温管理。然而，THA需要在手术期间将患者暴露在低温下，并可能导致这些患者的自身免疫性溶血性贫血。因此，冷凝集素病患者行THA围手术期管理需要的不仅仅是严密的全身体温管理。在此，我们报告一例重症感冒凝集素疾病患者行骨水泥干THA手术的围手术期成功处理。

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Perioperative Management of a Patient With Severe Cold Agglutinin Disease Undergoing Total Hip Arthroplasty With a Cemented Stem: A Case Report.

Patients with cold agglutinin disease who undergo total hip arthroplasty (THA) are rarely encountered. Patients with cold agglutinin disease are very sensitive to cold ambient temperatures and require scrupulous perioperative body-temperature management. However, THA requires a cementing procedure that exposes patients to cold temperatures during surgery and may result in autoimmune hemolytic anemia in these patients. Thus, perioperative management of patients with cold agglutinin disease undergoing THA requires more than just scrupulous systemic temperature management. Here, we present the successful perioperative management of a patient with severe cold agglutinin disease who underwent THA with a cemented stem.

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A&A Practice ANESTHESIOLOGY-

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期刊介绍： A & A Case Reports, our new online journal publishing Case Reports, related Editorial Commentary, and Correspondence. Anesthesia & Analgesia 1 and Anesthesiology 2 recently announced that they were suspending publication of Case Reports. One reason is that Case Reports typically reduce the Impact Factor of a journal because they are rarely cited. Regardless of the merits of Impact Factor as a metric of journal worth, journals and their editors necessarily consider Impact Factor in strategic planning. At the same time, Case Reports are appreciated by readers for describing “real life” management of difficult or unusual cases not often encountered by practitioners. In a recent issue of Anesthesia & Analgesia, Steven Shafer1 identified many Case Reports whose publication launched productive careers dedicated to solving the puzzle posed by an unusual observation in a single patient.