Toda Yuichiro, Yokoyama Masataka, Morimatsu Hiroshi, Nakatsuka Hideki, Takeuchi Mamoru, Katayama Hiroshi, Morita Kiyoshi
Department of Anesthesiology and Resuscitology, Okayama University Medical School, Okayama 700-8558, Japan.
J Anesth. 2006;20(2):138-40. doi: 10.1007/s00540-006-0388-7.
A 13-year-old boy with epidermolysis bullosa underwent a repair of pseudosyndactyly. He had a long history of bullae formation in the oral cavity and on the pharynx and body surface, and some were active at the time of surgery. We chose inhalational general anesthesia with tracheal intubation using sevoflurane and nitrous oxide. The trachea was successfully extubated after the surgery, and no major bulla formation was observed. General anesthesia with tracheal intubation may be chosen as anesthesia for patients with epidermolysis bullosa.
一名患有大疱性表皮松解症的13岁男孩接受了假性并指修复手术。他在口腔、咽部和体表有长期的水疱形成病史，且在手术时部分水疱仍处于活动期。我们选择使用七氟醚和氧化亚氮进行气管插管吸入全身麻醉。术后气管插管成功拔除，未观察到新的大水疱形成。对于大疱性表皮松解症患者，可选择气管插管全身麻醉。
