Tapper J B, Giesecke A H
University of Texas Southwestern Medical School, Dallas 75235-9068.
Anaesthesia. 1990 May;45(5):378-80. doi: 10.1111/j.1365-2044.1990.tb14780.x.
We present a case of acute bowel obstruction in an immunocompromised child, who also had lobar pneumonia and a giant unilateral pneumatocele. She was successfully managed with subarachnoid anaesthesia for exploratory laparotomy to relieve a colonic obstruction. This proved to be a safe alternative to general anaesthesia with tracheal intubation in this patient and should be considered in infants and children in selected cases whenever a contraindication to general anaesthesia exists.
我们报告一例免疫功能低下儿童的急性肠梗阻病例，该患儿还患有大叶性肺炎和巨大的单侧肺大疱。她在蛛网膜下腔麻醉下成功接受了剖腹探查术以解除结肠梗阻。事实证明，对于该患者而言，这是气管插管全身麻醉的一种安全替代方法，并且在存在全身麻醉禁忌证的特定病例中，无论婴儿还是儿童，都应考虑采用这种方法。
