Yorozu T, Takino Y, Shimada M, Sumida Y, Hayashi H
Masui. 1989 Aug;38(8):1092-5.
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.
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。