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在胸段硬膜外麻醉下为患有严重肺内分流的患者实施胆囊切除术。

Cholecystectomy under thoracic epidural anaesthesia for patient with severe intra-pulmonary shunt.

作者信息

Frankel Agustina, Ferris Rebekah, Hodgkinson Peter, Ellender Claire M

机构信息

Department of Respiratory & Sleep Medicine Princess Alexandra Hospital Woolloongabba QLD Australia.

出版信息

Respirol Case Rep. 2020 Mar 8;8(3):e00543. doi: 10.1002/rcr2.543. eCollection 2020 Apr.

DOI:10.1002/rcr2.543
PMID:32166035
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7060891/
Abstract

Pulmonary arteriovenous malformations are common in patients with hereditary haemorrhagic telangiectasia and can be associated with significant hypoxia and intra-pulmonary shunt. We present a case of a young man with a known 57% calculated shunt requiring abdominal surgery and the multidisciplinary decisions required in the preoperative period to minimize post-operative complications.

摘要

肺动静脉畸形在遗传性出血性毛细血管扩张症患者中很常见，并且可能与严重缺氧和肺内分流有关。我们报告一例已知分流率为57%的年轻男性患者，该患者需要接受腹部手术，以及术前为尽量减少术后并发症而做出的多学科决策。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b4b4/7060891/b44bcb9a8643/RCR2-8-e00543-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b4b4/7060891/2f2c3919352b/RCR2-8-e00543-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b4b4/7060891/b44bcb9a8643/RCR2-8-e00543-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b4b4/7060891/2f2c3919352b/RCR2-8-e00543-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b4b4/7060891/b44bcb9a8643/RCR2-8-e00543-g002.jpg

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1
Cholecystectomy under thoracic epidural anaesthesia for patient with severe intra-pulmonary shunt.在胸段硬膜外麻醉下为患有严重肺内分流的患者实施胆囊切除术。
Respirol Case Rep. 2020 Mar 8;8(3):e00543. doi: 10.1002/rcr2.543. eCollection 2020 Apr.
2
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本文引用的文献

1
A case of pulmonary arteriovenous malformation: role of interventional radiology in diagnosis and treatment.一例肺动静脉畸形：介入放射学在诊断和治疗中的作用。
Ann Transl Med. 2017 Sep;5(17):345. doi: 10.21037/atm.2017.06.23.
2
Regional versus general anesthesia in surgical patients with chronic obstructive pulmonary disease: does avoiding general anesthesia reduce the risk of postoperative complications?慢性阻塞性肺疾病外科患者的区域麻醉与全身麻醉：避免全身麻醉是否能降低术后并发症的风险？
Anesth Analg. 2015 Jun;120(6):1405-12. doi: 10.1213/ANE.0000000000000574.
3
Management of patients with hereditary hemorrhagic telangiectasia undergoing general anesthesia: a cohort from a single academic center's experience.
遗传性出血性毛细血管扩张症患者行全身麻醉的管理：单中心经验的队列研究。
J Anesth. 2013 Oct;27(5):705-11. doi: 10.1007/s00540-013-1601-0. Epub 2013 Apr 5.
4
Hereditary hemorrhagic telangiectasia.遗传性出血性毛细血管扩张症
N Engl J Med. 1995 Oct 5;333(14):918-24. doi: 10.1056/NEJM199510053331407.