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[患有特雷彻·柯林斯综合征患者的麻醉]

[Anesthesia in a patient with Treacher-Collins syndrome].

作者信息

Abengochea Cotaina A, Sanmiguel Gil G, Vila Sánchez M, Martínez Trens M, Baena Montilla P

机构信息

Servicios de Anestesiología, Hospital La Fe, Valencia.

出版信息

Rev Esp Anestesiol Reanim. 1990 Mar-Apr;37(2):95-7.

PMID:2339214
Abstract

Treacher Collins syndrome is a form of mandibulofacial dysostosis characterized by deafness, hypoplasia of facial bones (mandible, maxilla and cheek bone), antimongoloid slant of palpebral fissures, coloboma of the lower lid and bilateral anomalies of auricle. The condition may be associated with other malformations (cardiovascular system). The major problem in anesthesia lies on the maintenance of a free airway and intubation. During postoperative period, pharyngeal and laryngeal edema may develop even after pharyngoplasty. Cases of sleep apnea, respiratory distress and even sudden death have been reported.

摘要

特雷彻·柯林斯综合征是一种下颌面部发育不全的疾病,其特征为耳聋、面部骨骼(下颌骨、上颌骨和颧骨)发育不全、睑裂反蒙古样倾斜、下睑缺损以及耳廓双侧异常。该病症可能与其他畸形(心血管系统)相关。麻醉中的主要问题在于维持气道通畅和插管。术后期间,即使在咽成形术后也可能发生咽喉水肿。已有睡眠呼吸暂停、呼吸窘迫甚至猝死的病例报道。

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