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使用超高压布比卡因单次脊髓麻醉行区域麻醉在患有先天性多发性关节挛缩症的儿童中。

Regional anesthesia with a single spinal anesthesia using hyperbaric bupivacaine in a child with arthroglyposis multiplex congenita.

机构信息

Department of Anesthesiology and Reanimation, Medical Faculty, Selcuk University, Akyokus, Meram, Konya, Turkey.

出版信息

J Anesth. 2012 Apr;26(2):283-5. doi: 10.1007/s00540-011-1309-y. Epub 2012 Feb 22.

DOI:10.1007/s00540-011-1309-y
PMID:22354670
Abstract

Arthrogryposis multiplex congenita (AMC) consists of complex congenital anomalies characterized by multiple contractures. Anesthetic management of these patients requires special care: as this disease often progresses until dysfunction of multiple organ systems occur, it may have an impact on the anesthetic management. Here, we report a case of AMC undergoing urgent surgery for open tibia fracture who had difficult airway management because of limited mouth opening. The anesthetic management of this patient is represented in light of the literature.

摘要

先天性多发性关节挛缩症(AMC)由多种先天性畸形引起,表现为多个关节挛缩。此类患者的麻醉管理需要特别注意:由于该病常进展至多器官系统功能障碍,故可能会对麻醉管理产生影响。本研究报告了 1 例因开放性胫骨骨折行急症手术且因张口度受限致气道管理困难的 AMC 患者。本研究结合文献报道了该患者的麻醉管理过程。

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本文引用的文献

1
Ex utero intrapartum treatment procedure in a patient with arthrogryposis multiplex congenita, using continuous spinal anesthesia and intravenous nitroglycerin for uterine relaxation.先天性多发性关节挛缩症患者的产时宫外治疗程序,采用连续脊麻和静脉注射硝酸甘油以松弛子宫。
Int J Obstet Anesth. 2008 Jan;17(1):53-6. doi: 10.1016/j.ijoa.2007.01.007. Epub 2007 Apr 23.
2
Perioperative care of the child with arthrogryposis.先天性多发性关节挛缩症患儿的围手术期护理
Paediatr Anaesth. 2006 Jan;16(1):31-7. doi: 10.1111/j.1460-9592.2005.01676.x.
3
Caesarean section using a combined spinal epidural technique in a patient with arthrogryposis multiplex congenita.
在一名患有先天性多发性关节挛缩症的患者中采用腰麻-硬膜外联合技术进行剖宫产。
Int J Obstet Anesth. 2000 Oct;9(4):282-5. doi: 10.1054/ijoa.2000.0722.
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Anesthetic management for patients with arthrogryposis multiplex congenita and severe micrognathia: case reports.先天性多发性关节挛缩症合并严重小颌畸形患者的麻醉管理:病例报告
J Clin Anesth. 2000 May;12(3):227-30. doi: 10.1016/s0952-8180(00)00147-1.
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J Oral Maxillofac Surg. 1996 Aug;54(8):956-9. doi: 10.1016/s0278-2391(96)90391-2.
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Anaesthesia in arthrogryposis multiplex congenita: case report.先天性多发性关节挛缩症的麻醉:病例报告
Can J Anaesth. 1987 May;34(3 ( Pt 1)):288-90. doi: 10.1007/BF03015167.
9
Maxillofacial manifestations and management of arthrogryposis: literature review and case report.
J Oral Maxillofac Surg. 1987 Mar;45(3):274-9. doi: 10.1016/0278-2391(87)90129-7.
10
Anaesthetic management of an obstetrical patient with arthrogryposis multiplex congenita.一名患有先天性多发性关节挛缩症的产科患者的麻醉管理
Can J Anaesth. 1988 Nov;35(6):612-4. doi: 10.1007/BF03020349.