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先天性脊柱骨骺发育不良。硬膜外麻醉下剖宫产。

Spondyloepiphyseal dysplasia congenita. Caesarean section under epidural anaesthesia.

作者信息

Rodney G E, Callander C C, Harmer M

机构信息

Department of Anaesthetics, University Hospital of Wales, Heath Park, Cardiff.

出版信息

Anaesthesia. 1991 Aug;46(8):648-50. doi: 10.1111/j.1365-2044.1991.tb09714.x.

DOI:10.1111/j.1365-2044.1991.tb09714.x
PMID:1887971
Abstract

Spondyloepiphyseal dysplasia congenita is a rare condition with several features of concern to the anaesthetist. The patients are of extremely short stature and the presence of kyphoscoliosis may lead to significant respiratory impairment. Cervical vertebral body changes can result in spinal cord compression and laryngotracheal stenosis may be present. The management of such a patient presenting for elective Caesarean section under epidural anaesthesia is described.

摘要

先天性脊椎骨骺发育不良是一种罕见疾病,有几个方面值得麻醉医生关注。患者身材极度矮小,脊柱侧弯后凸可能导致严重的呼吸功能损害。颈椎椎体改变可导致脊髓受压,还可能存在喉气管狭窄。本文描述了此类患者在硬膜外麻醉下接受择期剖宫产手术的处理方法。

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