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一名新诊断为肥厚型心肌病患儿的麻醉

Anesthesia in a child with newly diagnosed Hypertrophic Cardiomyopathy.

作者信息

Kaplanian Serge, Chambers Neil A

机构信息

Department of Anesthesia, Princess Margaret Hospital For Children, Perth, WA, Australia.

出版信息

Paediatr Anaesth. 2006 Oct;16(10):1080-3. doi: 10.1111/j.1460-9592.2006.01922.x.

Abstract

We report the initial resuscitation and subsequent management of a child with newly diagnosed Hypertrophic Cardiomyopathy (HCM), which presented as an out of hospital cardiac arrest. HCM is an autosomal dominant condition that is uncommonly encountered in the pediatric setting and is an important cause of sudden death. Here, we describe the safe use of an anesthetic technique for insertion of an implantable cardioverter-defibrillator that ensured strict hemodynamic stability and modest bradycardia.

摘要

我们报告了一名新诊断为肥厚型心肌病(HCM)患儿的初始复苏及后续治疗情况,该患儿以院外心脏骤停形式就诊。HCM是一种常染色体显性疾病,在儿科环境中并不常见,是猝死的重要原因。在此,我们描述了一种用于植入植入式心脏复律除颤器的麻醉技术的安全应用,该技术确保了严格的血流动力学稳定性和适度的心动过缓。

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