Sivathondan D
Department of Anaesthesia, Canterbury Hospital, Sydney, New South Wales, Australia.
Anaesth Intensive Care. 2006 Aug;34(4):506-9. doi: 10.1177/0310057X0603400404.
Patients with myotonic dystrophy presenting for surgery are exposed to the adverse effects of anaesthetics, especially if the condition has not been diagnosed. Respiratory depression due to increased sensitivity to anaesthetic and opioid drugs is of major concern in patients undergoing major surgery. Meticulous pre- and postoperative management, including pain management, is necessary to avoid morbidity and mortality.
患有强直性肌营养不良症且需接受手术的患者会面临麻醉剂的不良反应,尤其是在病情尚未确诊的情况下。对麻醉药和阿片类药物敏感性增加导致的呼吸抑制是接受大手术患者的主要担忧。细致的术前和术后管理,包括疼痛管理,对于避免发病和死亡是必要的。