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未分类心肌病患者行经输尿管碎石术的麻醉管理

Anesthesia Management in a Patient with Unclassified Cardiomyopathy for Transureteral Lithotripsy Surgery.

作者信息

Rezagholi Payman, Barzanji Arvin, Lahorpoor Aida

机构信息

Department of Operating Room, Faculty of Nursing and Midwifery, Kurdistan University of Medical Sciences, Sanandaj, Iran.

Department of Anesthesiology, Faculty of Paramedical Sciences, Kurdistan University of Medical Sciences, Sanandaj, Iran.

出版信息

Adv Biomed Res. 2020 Sep 30;9:46. doi: 10.4103/abr.abr_33_20. eCollection 2020.

DOI:10.4103/abr.abr_33_20
PMID:33457329
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7792873/
Abstract

Anesthesia management has always been challenging in cardiac patients, especially patients with cardiomyopathy. There are a variety of cardiomyopathies such as unclassified cardiomyopathy as a complex type that can occur in many forms like left ventricular noncompaction (LVNC) that is an uncommon primary genetic cardiomyopathy typified by noticeable trabeculation of the left ventricular (LV) wall and intertrabecular recesses. We report anesthesia management in a 53-year-old female patient who admitted to the hospital for the transureteral lithotripsy surgery due to dysuria and urolithiasis with a medical history, and echocardiographic examination indicated the diagnosis of hypertension and unclassified cardiomyopathy (LVNC).

摘要

麻醉管理对于心脏病患者,尤其是心肌病患者来说一直具有挑战性。心肌病有多种类型,如未分类心肌病这种复杂类型,它可以有多种形式,像左心室致密化不全(LVNC),这是一种罕见的原发性遗传性心肌病,其典型特征是左心室壁有明显的小梁结构和小梁间隐窝。我们报告了一名53岁女性患者的麻醉管理情况,该患者因排尿困难和尿路结石入院接受经输尿管碎石手术,有病史,超声心动图检查显示诊断为高血压和未分类心肌病(LVNC)。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/18cf/7792873/23b74d22e342/ABR-9-46-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/18cf/7792873/23b74d22e342/ABR-9-46-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/18cf/7792873/23b74d22e342/ABR-9-46-g003.jpg

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