Sarıtaş Tuba Berra, Şahin Osman, Borazan Hale, Otelcioğlu Şeref
Department of Anaesthesiology and Reanimation, Necmettin Erbakan University Meram Faculty of Medicine, Konya, Turkey.
Turk J Anaesthesiol Reanim. 2014 Dec;42(6):365-7. doi: 10.5152/TJAR.2014.94809. Epub 2014 Jul 11.
Wegener granulomatosis (WG) is a kind of vasculitis that affects small and medium-sized arteries. Necrotizing granulomatous vasculitis of the upper and lower respiratory tracts and necrotizing glomerulonephritis of the kidneys are present. WG affects mainly Caucasian individuals between 15-75 years old, with a mean age of onset of 41 years. It affects both males and females equally. Kidney involvement is not present in the limited form of WG. Peripheral nerve blocks are good alternatives when general anaesthesia is risky. Popliteal block is blockade of the sciatic nerve at the popliteal region. Popliteal block is a kind of peripheral block for surgeries below the knee level. In this article, we report on the anaesthesia management of a 61-year-old limited-form WG patient for whom general anaesthesia was risky because of lung involvement.
韦格纳肉芽肿病（WG）是一种累及中小动脉的血管炎。存在上、下呼吸道的坏死性肉芽肿性血管炎以及肾脏的坏死性肾小球肾炎。WG主要影响15至75岁的白种人，平均发病年龄为41岁。男女发病率相同。局限性WG不存在肾脏受累情况。当全身麻醉有风险时，外周神经阻滞是很好的替代方法。腘窝阻滞是在腘窝区域对坐骨神经进行的阻滞。腘窝阻滞是一种用于膝关节以下手术的外周阻滞。在本文中，我们报告了一例61岁局限性WG患者的麻醉管理情况，该患者因肺部受累，全身麻醉存在风险。
