一名6号染色体短臂重复患者的麻醉管理：病例报告
Anesthetic management of a patient with chromosome 6p duplication: a case report.
作者信息
Morinaga Saori, Tsukamoto Masanori, Yokoyama Takeshi
机构信息
Department of Dental Anesthesiology, Kyushu University Hospital, Fukuoka, Japan.
Department of Dental Anesthesiology, Faculty of Dental Science, Kyushu University, Fukuoka, Japan.
出版信息
J Dent Anesth Pain Med. 2017 Jun;17(2):139-141. doi: 10.17245/jdapm.2017.17.2.139. Epub 2017 Jun 29.
Chromosome 6p duplication is very rare and clinically characterized by short stature, mental retardation, and congenital heart diseases. Patients with mental retardation may present with poor oral health conditions. Dental treatment may need to be performed under general anesthesia in such patients. Our case report deals with induction of general anesthesia to a patient with chromosome 6p duplication, for dental treatment. The selection of a nasotracheal tube of an appropriate size, because of the patient's short stature, was especially important for airway management. In the present case, the patient with chromosome 6p duplication was intubated with a nasotracheal tube, which was not age-matched but adapted to the height and physique of the patient.
6号染色体短臂重复非常罕见，临床特征为身材矮小、智力迟钝和先天性心脏病。智力迟钝患者可能存在口腔健康状况不佳的情况。这类患者可能需要在全身麻醉下进行牙科治疗。我们的病例报告涉及对一名患有6号染色体短臂重复的患者进行全身麻醉诱导以进行牙科治疗。由于患者身材矮小，选择合适尺寸的鼻气管导管对气道管理尤为重要。在本病例中，患有6号染色体短臂重复的患者通过一根并非根据年龄匹配、而是根据患者身高和体型适配的鼻气管导管进行插管。
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