White R J, Bass S
Department of Anaesthesia, Addenbrookes Hospital, Hilla Road, Cambridge CB2 2QQ, UK.
Paediatr Anaesth. 2001 Jul;11(4):494-7. doi: 10.1046/j.1460-9592.2001.00710.x.
A 13-year-old boy with myotonic dystrophy underwent insertion of a percutaneous gastrostomy feeding tube under general anaesthesia. We used a laryngeal mask airway and a spontaneously breathing technique with propofol total intravenous anaesthesia. Postoperative vomiting and aspiration, 12 h after the procedure, subsequently required intubation and ventilation. We discuss the anaesthetic management of this case and review the features of the disease to be considered when contemplating anaesthesia in such patients.
一名患有强直性肌营养不良的13岁男孩在全身麻醉下接受了经皮胃造口术饲管置入。我们使用了喉罩气道，并采用丙泊酚全静脉麻醉的自主呼吸技术。术后12小时出现呕吐和误吸，随后需要插管和通气。我们讨论了该病例的麻醉管理，并回顾了在考虑对此类患者进行麻醉时应考虑的疾病特征。
