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使用超声辅助中枢神经轴索阻滞管理一例强直性脊柱炎患者的全髋关节置换手术

Management of a case of ankylosing spondylitis for total hip replacement surgery with the use of ultrasound-assisted central neuraxial blockade.

作者信息

Goyal Rakhee, Singh Shivinder, Shukla Ravindra Nath, Singhal Anuj

机构信息

Department of Anesthesia and Critical Care, Armed Forces Medical College, Pune, and Command Hospital (SC), Pune, Maharashtra, India.

出版信息

Indian J Anaesth. 2013 Jan;57(1):69-71. doi: 10.4103/0019-5049.108572.

DOI:10.4103/0019-5049.108572
PMID:23716771
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3658341/
Abstract

Management of a case of ankylosing spondylitis can be very challenging when the airway and the central neuraxial blockade, both are difficult. Ultrasound-assisted central neuraxial blockade may lead to predictable success in the field of regional anaesthesia. We present a young patient with severe ankylosing spondylitis where conventional techniques failed and ultrasound helped in successful combined spinal-epidural technique for total hip replacement surgery.

摘要

当气道和椎管内阻滞都很困难时，强直性脊柱炎病例的管理极具挑战性。超声辅助椎管内阻滞在区域麻醉领域可能会带来可预测的成功。我们报告了一名患有严重强直性脊柱炎的年轻患者，传统技术对此失败，而超声帮助成功实施了用于全髋关节置换手术的腰麻-硬膜外联合技术。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/af3e/3658341/453004961bf1/IJA-57-69-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/af3e/3658341/0e96cd9cd5cc/IJA-57-69-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/af3e/3658341/453004961bf1/IJA-57-69-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/af3e/3658341/0e96cd9cd5cc/IJA-57-69-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/af3e/3658341/453004961bf1/IJA-57-69-g002.jpg

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本文引用的文献

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Cesarean section under spinal anesthesia in a patient with ankylosing spondylitis--a case report.强直性脊柱炎患者腰麻下剖宫产——病例报告
Middle East J Anaesthesiol. 2010 Oct;20(6):865-8.
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Taylor's approach in an ankylosing spondylitis patient posted for percutaneous nephrolithotomy: A challenge for anesthesiologists.针对拟行经皮肾镜取石术的强直性脊柱炎患者的泰勒方法：给麻醉医生带来的一项挑战。
Saudi J Anaesth. 2009 Jul;3(2):87-90. doi: 10.4103/1658-354X.57879.
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Ultrasonography as a preoperative assessment tool: predicting the feasibility of central neuraxial blockade.
Ultrasound-Guided Taylor's Approach in Ankylosing Spondylitis.
超声引导下泰勒法在强直性脊柱炎中的应用
Anesth Essays Res. 2018 Jul-Sep;12(3):761-764. doi: 10.4103/aer.AER_88_18.
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Fluoroscopic-guided paramedian approach to subarachnoid block in patients with ankylosing spondylitis: A case series.
Indian J Anaesth. 2018 Feb;62(2):142-144. doi: 10.4103/ija.IJA_655_17.
5
Continuous posterior lumbar plexus and continuous parasacral and intubation with lighted stylet for ankylosing spondylitis.连续腰丛阻滞联合连续骶旁阻滞及光棒引导插管用于强直性脊柱炎治疗
Anesth Essays Res. 2015 Jan-Apr;9(1):98-100. doi: 10.4103/0259-1162.150146.
超声作为术前评估工具：预测中枢神经轴阻滞的可行性。
Anesth Analg. 2010 Jan 1;110(1):252-3. doi: 10.1213/ANE.0b013e3181bf9e71. Epub 2009 Oct 27.
4
Ankylosing spondylitis: recent developments and anaesthetic implications.
Anaesthesia. 2009 May;64(5):540-8. doi: 10.1111/j.1365-2044.2008.05794.x.
5
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Epidural hematoma unrelated to combined spinal-epidural anesthesia in a patient with ankylosing spondylitis receiving aspirin after total hip replacement.全髋关节置换术后接受阿司匹林治疗的强直性脊柱炎患者发生与腰麻-硬膜外联合麻醉无关的硬膜外血肿。
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