Wakasaki Rumie, Higa Kazuo, Nitahara Keiichi, Shono Shinjiro, Yasumoto Masanobu
Department of Anesthesiology, Fukuoka University School of Medicine, Fukuoka.
Masui. 2006 Sep;55(9):1173-5.
We report anesthetic management of a patient with lymphangioleiomyomatosis. A 41-year-old woman underwent lung biopsy under video-assisted thoracoscopic surgery to confirm the presence of lymphangioleiomyomatosis. She had hypoxemia due to obstructive lung disorder. Anesthesia was maintained with epidural block and general anesthesia with sevoflurane. During the operation, there were repeated episodes of hypoxemia, which required manual ventilation of the independent lung. After the operation, the tracheal tube was replaced with a laryngeal mask airway to minimize the risk of pneumothorax. There was no postoperative anesthesia-related complication.
我们报告了一例淋巴管平滑肌瘤病患者的麻醉管理情况。一名41岁女性接受了电视辅助胸腔镜手术下的肺活检，以确诊淋巴管平滑肌瘤病。她因阻塞性肺部疾病而出现低氧血症。麻醉维持采用硬膜外阻滞和七氟醚全身麻醉。手术过程中，反复出现低氧血症，需要对患侧肺进行手动通气。术后，将气管导管更换为喉罩气道，以降低气胸风险。术后未出现与麻醉相关的并发症。
