Suppr超能文献

患有强直性肌营养不良症的患者进行髋关节盂唇修复手术的麻醉注意事项。

Anesthetic Considerations in a Patient with Myotonic Dystrophy for Hip Labral Repair.

作者信息

Go Ramon, Wang David, Ludwin Danielle

机构信息

Department of Anesthesiology, New York-Presbyterian, Columbia University Medical Center, New York, NY, USA.

出版信息

Case Rep Anesthesiol. 2017;2017:6408956. doi: 10.1155/2017/6408956. Epub 2017 Feb 20.

Abstract

Myotonic Dystrophy (DM) affects multiple organ systems. Disorders such as hyperthyroidism, progressive musculoskeletal weakness, cardiac dysrhythmias, hypoventilation, and cognitive-behavioral disorders may be present in these patients. Thorough preoperative assessment and anesthetic planning are required to minimize the risk of anesthetic complications. Patients with DM can exhibit exquisite sensitivity to sedatives, neuromuscular blocking agents, and volatile anesthetics, resulting in potential postoperative complications. There is limited literature available on successful anesthetic techniques for the DM patient. We present this case report to add to our current fund of knowledge.

摘要

强直性肌营养不良(DM)会影响多个器官系统。这些患者可能会出现甲状腺功能亢进、进行性肌肉骨骼无力、心律失常、通气不足以及认知行为障碍等病症。需要进行全面的术前评估和麻醉计划,以将麻醉并发症的风险降至最低。DM患者可能对镇静剂、神经肌肉阻滞剂和挥发性麻醉剂表现出极高的敏感性,从而导致潜在的术后并发症。关于DM患者成功麻醉技术的文献有限。我们呈现此病例报告以增加我们目前的知识储备。

相似文献

4
Anesthesia and myotonic dystrophy type 2: a case series.麻醉与 2 型肌强直性营养不良:病例系列。
Can J Anaesth. 2010 Mar;57(3):248-55. doi: 10.1007/s12630-009-9244-1. Epub 2010 Jan 15.
5
Myotonic dystrophies type 1 and 2: anesthetic care.1型和2型强直性肌营养不良症:麻醉处理
Paediatr Anaesth. 2013 Sep;23(9):794-803. doi: 10.1111/pan.12120. Epub 2013 Feb 5.

本文引用的文献

1
Long-term arrhythmia follow-up of patients with myotonic dystrophy.强直性肌营养不良患者的长期心律失常随访
J Cardiovasc Electrophysiol. 2015 Mar;26(3):305-10. doi: 10.1111/jce.12604. Epub 2015 Feb 11.
6
Gastrointestinal manifestations in myotonic muscular dystrophy.强直性肌营养不良的胃肠道表现
World J Gastroenterol. 2006 Mar 28;12(12):1821-8. doi: 10.3748/wjg.v12.i12.1821.
8
SYSTEMIC EFFECTS IN DYSTROPHIA MYOTONICA.强直性肌营养不良的全身影响
Brain. 1964 Sep;87:521-36. doi: 10.1093/brain/87.3.521.

文献检索

告别复杂PubMed语法,用中文像聊天一样搜索,搜遍4000万医学文献。AI智能推荐,让科研检索更轻松。

立即免费搜索

文件翻译

保留排版,准确专业,支持PDF/Word/PPT等文件格式,支持 12+语言互译。

免费翻译文档

深度研究

AI帮你快速写综述,25分钟生成高质量综述,智能提取关键信息,辅助科研写作。

立即免费体验