Evans Michael, Lam Humphrey, Austin Thomas
From the *Emory University School of Medicine; and †Children's Healthcare of Atlanta at Egleston, Atlanta, Georgia.
A A Case Rep. 2017 Jul 15;9(2):50-51. doi: 10.1213/XAA.0000000000000523.
Trisomy 10 is a rare disorder, with only 35 cases reported in the literature. Anesthetic management may be challenging in this patient population because of craniofacial, cardiac, and renal abnormalities commonly seen in the disorder. We describe a 16-year-old male with an anesthetic history notable for prolonged emergence, postoperative hypoxia, postoperative reintubation, and unexpected hospital admission presenting for dental extraction of impacted teeth. We utilized intravenous caffeine, a respiratory stimulant used in preterm infants, to facilitate recovery from anesthesia.
10号染色体三体是一种罕见的疾病，文献中仅报道了35例。由于该疾病中常见的颅面、心脏和肾脏异常，对这一患者群体进行麻醉管理可能具有挑战性。我们描述了一名16岁男性，其麻醉史以苏醒时间延长、术后缺氧、术后再次插管以及意外住院为特征，此次因拔除阻生牙前来就诊。我们使用了静脉注射咖啡因，一种用于早产儿的呼吸兴奋剂，以促进其从麻醉中恢复。
