From the Department of Pediatrics and Anesthesiology, University of Southern California.
Department of Anesthesiology and Critical Care Medicine, Children's Hospital Los Angeles, Los Angeles, California.
A A Pract. 2021 Mar 8;15(3):e01422. doi: 10.1213/XAA.0000000000001422.
Subcutaneous fat necrosis of the newborn (SCFN) is an uncommon, self-limiting panniculitis generally diagnosed in the first few weeks of extrauterine life in term or postterm infants subjected to perinatal physiologic stress. Hallmarks of the process include dramatic hypercalcemia without identifiable cause that may be associated with renal disease, seizures, and death. Herein, we describe the anesthetic approach in an 11-week-old infant, including perioperative laboratory testing, management of hypercalcemia, and intraoperative considerations.
新生儿皮下脂肪坏死症 (SCFN) 是一种不常见的、自限性的脂肪炎,通常在足月或过期产儿经历围产期生理应激后,在宫外生活的最初几周内被诊断出来。该过程的特征包括无明显原因的戏剧性高钙血症,可能与肾脏疾病、癫痫发作和死亡有关。在此,我们描述了一例 11 周龄婴儿的麻醉方法,包括围手术期实验室检查、高钙血症的管理和术中注意事项。