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[康拉迪综合征(点状软骨发育不良)患者的麻醉管理——病例报告]

[Anesthetic management of a patient with Conradi's syndrome (chondrodysplasia punctata)--a case report].

作者信息

Yorozu T, Takino Y, Shimada M, Sumida Y, Hayashi H

出版信息

Masui. 1989 Aug;38(8):1092-5.

PMID:2810706
Abstract

Conradi's syndrome is a rare hereditary disease characterized by punctate epiphyseal calcifications. The symptoms include short stature, typical facies with hypertelorism, saddle nose, short neck, tracheal stenosis and scoliosis. The deformities of airway and thoracic cage are expected to bring about ventilatory failure during anesthesia and operation. Although there has been a brief report of a death of a child with this syndrome during induction of anesthesia, we cannot find any other report concerning the perioperative respiratory management. This is a report on a girl with Conradi's disease who developed respiratory problems due possibly to gastric aspiration during ophthalmic surgery under general anesthesia. Several anesthetic problems raised by this case are discussed.

摘要

康拉迪综合征是一种罕见的遗传性疾病,其特征为点状骨骺钙化。症状包括身材矮小、典型面容(眼距增宽)、鞍鼻、短颈、气管狭窄和脊柱侧凸。气道和胸廓畸形预计会在麻醉和手术期间导致呼吸衰竭。尽管曾有一篇简短报道称一名患有该综合征的儿童在麻醉诱导期死亡,但我们未找到任何其他关于围手术期呼吸管理的报道。本文报告了一名患有康拉迪病的女孩,她在全身麻醉下进行眼科手术时可能因胃内容物误吸而出现呼吸问题。文中讨论了该病例引发的几个麻醉问题。

相似文献

1
[Anesthetic management of a patient with Conradi's syndrome (chondrodysplasia punctata)--a case report].[康拉迪综合征(点状软骨发育不良)患者的麻醉管理——病例报告]
Masui. 1989 Aug;38(8):1092-5.
2
Chondrodystrophia calcificans congenita (Conradi's disease) with cutaneous changes.先天性钙化性软骨发育不良(康拉迪病)伴皮肤改变。
Birth Defects Orig Artic Ser. 1971 Jun;7(8):309.
3
[Conradi's disease associated with follicular atrophoderma (author's transl)].与毛囊性皮肤萎缩相关的康拉迪病(作者译)
Nihon Hifuka Gakkai Zasshi. 1977 Mar;87(4):273-8.
4
Skin manifestations of Conradi's disease. Chondrodystrophia congenita punctata.康拉迪病的皮肤表现。先天性点状软骨发育不良。
Arch Dermatol. 1966 Dec;94(6):743-8.
5
[Glaucoma in Conradi's syndrome].[康拉迪综合征中的青光眼]
Arch Oftalmol B Aires. 1966 Jan-Feb;41(1):4-6.
6
[Chondrodysplasia punctata (Conradi's syndrome). Description of a case with recessive autosomal heredity].[点状软骨发育不良(康拉迪综合征)。一例常染色体隐性遗传病例的描述]
Minerva Pediatr. 1976 Nov 24;28(37):2289-96.
7
Fetal ascites associated with Conradi's disease (chondrodysplasia punctata): report of a case.与康拉迪病(点状软骨发育不良)相关的胎儿腹水:病例报告
J Clin Ultrasound. 1983 May;11(4):234-6. doi: 10.1002/jcu.1870110414.
8
Anaesthesia in a patient with Conradi's disease.
Anaesthesia. 1996 Oct;51(10):992-3. doi: 10.1111/j.1365-2044.1996.tb14985.x.
9
[Conradi's syndrome].
Acta Paediatr Belg. 1970;24(2):139-50.
10
Conradi's disease (chondrodystrophia calcificans congenital): a case report.康拉迪病(先天性钙化性软骨发育不良):一例病例报告。
Indian Pediatr. 1978 Dec;15(12):1043-5.