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猫叫综合征患者因上呼吸道发育不成熟导致的困难插管:一例报告

Difficult intubation caused by an immature upper airway in a patient with cri-du-chat syndrome: a case report.

作者信息

So Eunsun, Kim Seungoh

机构信息

Department of Anesthesiology, School of Dentistry, Dankook University, Cheonan, Korea.

出版信息

J Dent Anesth Pain Med. 2020 Feb;20(1):49-53. doi: 10.17245/jdapm.2020.20.1.49. Epub 2020 Feb 28.

Abstract

Cri-du-chat syndrome (CdCS) is caused by the deletion of the short arm of chromosome 5. Most patients with CdCS develop intellectual disabilities. Therefore, they have poor oral hygiene and a high caries index. However, treating such patients is not an easy task, because of the difficulty in communication. General anesthesia may be a useful option in adult patients with CdCS and intellectual disability. General anesthesia should be administered very carefully, owing to the presence of comorbid diseases, which may need airway management. Infants with CdCS need general anesthesia if they have a concomitant cardiac anomaly. Intubation is reportedly difficult for such patients was, owing to the structural and functional abnormalities in the larynx and vocal cords. The purpose of this study was to report a case of difficult intubation while inducing general anesthesia in a patient with CdCS during dental treatment, due to a narrow larynx and trachea.

摘要

猫叫综合征(CdCS)是由5号染色体短臂缺失引起的。大多数CdCS患者会出现智力障碍。因此,他们口腔卫生较差,龋齿指数较高。然而,治疗这类患者并非易事,因为存在沟通困难。全身麻醉对于患有CdCS和智力障碍的成年患者可能是一种有用的选择。由于存在可能需要气道管理的合并症,全身麻醉的实施应非常谨慎。患有CdCS的婴儿如果伴有心脏异常则需要全身麻醉。据报道,这类患者由于喉和声带的结构及功能异常,插管困难。本研究的目的是报告1例在牙科治疗期间对1名患有CdCS的患者进行全身麻醉诱导时因喉和气管狭窄导致插管困难的病例。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e2d0/7054071/ee8a8a71a625/jdapm-20-49-g001.jpg

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