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本文引用的文献

1
Effect of perioperative systemic α2 agonists on postoperative morphine consumption and pain intensity: systematic review and meta-analysis of randomized controlled trials.围手术期全身 α2 激动剂对术后吗啡消耗量和疼痛强度的影响:随机对照试验的系统评价和荟萃分析。
Anesthesiology. 2012 Jun;116(6):1312-22. doi: 10.1097/ALN.0b013e31825681cb.
2
Impact of perioperative pain intensity, pain qualities, and opioid use on chronic pain after surgery: a prospective cohort study.手术围术期疼痛强度、疼痛性质和阿片类药物使用对术后慢性疼痛的影响:一项前瞻性队列研究。
Reg Anesth Pain Med. 2012 Jan-Feb;37(1):19-27. doi: 10.1097/AAP.0b013e318237516e.
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Regional anesthesia in patients with preexisting neuropathy.已有神经病变患者的区域麻醉
Int Anesthesiol Clin. 2011 Fall;49(4):144-65. doi: 10.1097/AIA.0b013e3182101134.
4
Treatment of acute postoperative pain.急性术后疼痛的治疗。
Lancet. 2011 Jun 25;377(9784):2215-25. doi: 10.1016/S0140-6736(11)60245-6.
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Optimized perioperative analgesia reduces chronic phantom limb pain intensity, prevalence, and frequency: a prospective, randomized, clinical trial.优化围手术期镇痛可降低慢性幻肢痛的强度、发生率和频率:一项前瞻性、随机、临床试验。
Anesthesiology. 2011 May;114(5):1144-54. doi: 10.1097/ALN.0b013e31820fc7d2.
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Neuraxial anesthesia and analgesia in patients with preexisting central nervous system disorders.患有既往中枢神经系统疾病患者的神经轴索麻醉和镇痛
Anesth Analg. 2006 Jul;103(1):223-8, table of contents. doi: 10.1213/01.ane.0000220896.56427.53.
7
Exacerbation of preexisting neurological deficits by neuraxial anesthesia: report of 7 cases.神经轴索麻醉加重既往神经功能缺损:7例报告
J Clin Anesth. 2005 Jun;17(4):304-13. doi: 10.1016/j.jclinane.2004.08.011.
8
The antiphospholipid syndrome.
Int Anesthesiol Clin. 2004 Summer;42(3):45-57. doi: 10.1097/00004311-200404230-00006.
9
Exacerbation of pre-existing neurologic disease after spinal anesthesia.脊髓麻醉后原有神经系统疾病加重。
N Engl J Med. 1956 Nov 1;255(18):843-9. doi: 10.1056/NEJM195611012551803.
10
Preemptive analgesia II: recent advances and current trends.超前镇痛II:最新进展与当前趋势
Can J Anaesth. 2001 Dec;48(11):1091-101. doi: 10.1007/BF03020375.

针对患有罕见疾病组合患者的常见麻醉程序:一例病例报告。

A common anesthesiology procedure for a patient with an uncommon combination of diseases: a case report.

作者信息

Tympa Aliki, Hassiakos Dimitrios, Salakos Nikolaos, Melemeni Aikaterini

机构信息

1st Department of Anesthesiology, Aretaieion University Hospital, 76 Vas. Sofias Avenue, 11528 Athens, Greece.

出版信息

Case Rep Anesthesiol. 2012;2012:748748. doi: 10.1155/2012/748748. Epub 2012 Dec 12.

DOI:10.1155/2012/748748
PMID:23304562
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3530764/
Abstract

Administering neuraxial anesthesia to a patient with an underlying neurological disease and a combination of four other pathological disorders can be challenging. We report in this paper the case of a 45-year-old woman with neurological deficit due to ischemic brain infarct, multiple sclerosis, antiphospholipid syndrome, and β-heterozygous thalassemia that was subjected to abdominal hysterectomy and bilateral salpingoophorectomy under epidural anesthesia for ovarian cancer.

摘要

对患有潜在神经疾病且合并其他四种病理疾病的患者实施神经轴索麻醉具有挑战性。我们在本文中报告了一例45岁女性患者的病例,该患者因缺血性脑梗死、多发性硬化症、抗磷脂综合征和β杂合子地中海贫血导致神经功能缺损,因卵巢癌在硬膜外麻醉下接受了腹式子宫切除术和双侧输卵管卵巢切除术。