Colovic V, Walker R W M
Royal Manchester Children's Hospital, Pendlebury, Manchester, UK.
Paediatr Anaesth. 2002 May;12(4):351-5. doi: 10.1046/j.1460-9592.2002.00812.x.
Two cases of patients suffering from the congenital form of myotonia dystrophica under going spinal surgery are presented. Both patients had major complications, including cardiac arrhythmias, postoperative wound infection and more minor complications, such as sedation and opioid sensitivity. However, the most notable complication resulting in long-term morbidity was the deterioration of bulbar muscular function in one of the patients. This resulted in recurrent aspiration pneumonia and the need for a tracheostomy. This serious complication has not previously been reported following surgery.
本文介绍了两例患有先天性肌强直性营养不良症并接受脊柱手术的患者。两名患者均出现了严重并发症，包括心律失常、术后伤口感染以及一些较轻微的并发症，如镇静和阿片类药物敏感性。然而，导致长期发病的最显著并发症是其中一名患者的延髓肌肉功能恶化。这导致反复出现吸入性肺炎，并需要进行气管切开术。此前尚未有关于该手术出现这种严重并发症的报道。
