强直性肌营养不良患者的心脏麻醉

Cardiac anaesthesia in a patient with myotonic dystrophy.

作者信息

Tanaka M, Tanaka Y

机构信息

Department of Anesthesiology, Kyoto Prefectural University of Medicine, Japan.

出版信息

Anaesthesia. 1991 Jun;46(6):462-5. doi: 10.1111/j.1365-2044.1991.tb11684.x.

DOI:10.1111/j.1365-2044.1991.tb11684.x

PMID:2048664

Abstract

We describe a patient with myotonic dystrophy who required open-heart surgery for an atrial septal defect. He also had a sick sinus syndrome and an abnormal myocardium on histological examination. Anaesthesia using fentanyl, droperidol, nitrous oxide and a low concentration of enflurane was uneventful. Atelectasis of the left lung developed on the first postoperative day after removal of the tracheal tube. This was successfully treated by fibreoptic bronchoscopy.

摘要

我们描述了一名患有强直性肌营养不良的患者，他因房间隔缺损需要进行心脏直视手术。组织学检查显示，他还患有病态窦房结综合征和心肌异常。使用芬太尼、氟哌利多、氧化亚氮和低浓度安氟醚进行麻醉，过程顺利。气管插管拔除后的术后第一天，左肺发生肺不张。通过纤维支气管镜检查成功治愈。