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1例1型阿诺德-奇亚里畸形患者的麻醉管理:病例报告。

Anesthetic management in a patient with Arnold-Chiari malformation type 1,5: A case report.

作者信息

Coviello Antonio, Golino Ludovica, Posillipo Concetta, Marra Annachiara, Tognù Andrea, Servillo Giuseppe

机构信息

Department of Anesthesiology and Intensive Care Medicine Policlinico - Federico II University Hospital Napoli Italy.

Department of Anaesthesia and Postoperative Intensive Care Istituto Ortopedico Rizzoli Bologna Italy.

出版信息

Clin Case Rep. 2022 Feb 4;10(2):e05194. doi: 10.1002/ccr3.5194. eCollection 2022 Feb.

Abstract

A 42-year-old male patient with Arnold-Chiari malformation type 1,5 (ACM-1,5) came to implant a hip prosthesis. He underwent a previous general anesthesia, with difficult airway management and complication in awakening. In this second surgery, an extradural approach was preferred to keep intracranial pressure and hemodynamics stable.

摘要

一名患有1,5型阿诺德-奇亚里畸形(ACM-1,5)的42岁男性患者前来植入髋关节假体。他之前接受过全身麻醉,气道管理困难且苏醒时出现并发症。在这次第二次手术中,选择硬膜外麻醉方法以保持颅内压和血流动力学稳定。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5266/8815281/e6bbc32539b1/CCR3-10-e05194-g002.jpg

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