Hazama A, Kinouchi K, Kitamura S, Fukumitsu K
Department of Anaesthesiology, Osaka Medical Center and Research Institute for Maternal and Child Health, Izumi, Japan.
Paediatr Anaesth. 1999;9(5):403-7. doi: 10.1046/j.1460-9592.1999.00388.x.
Surgical nerve reconstruction for brachial plexus birth injuries and preoperative myelography and computed tomographic (CT) myelography require special anaesthetic considerations. Anaesthesia and medical records were retrospectively reviewed for the infants who underwent myelography, CT myelography (n=37) and microsurgical nerve reconstruction (n=34) at our institution from January 1993 to August 1996. Anaesthetic considerations include long duration of operation, perioperative respiratory complications and plaster application which makes reintubation difficult. Myelography for diagnosis requires a specific positioning of the patient with the head fixed in a midline and prone position.
臂丛神经产伤的手术神经重建以及术前脊髓造影和计算机断层扫描（CT）脊髓造影需要特殊的麻醉考虑。回顾性分析了1993年1月至1996年8月在我院接受脊髓造影、CT脊髓造影（n = 37）和显微外科神经重建（n = 34）的婴儿的麻醉和医疗记录。麻醉方面的考虑因素包括手术时间长、围手术期呼吸并发症以及石膏固定导致再次插管困难。用于诊断的脊髓造影需要患者头部固定在中线俯卧位的特定体位。
