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一名患有肯尼迪病的61岁男性肉瘤切除术后即刻成功拔管的全身麻醉

General Anesthesia With Successful Immediate Post-operative Extubation for Sarcoma Excision in a 61-Year-Old Male With Kennedy's Disease.

作者信息

Evans Raymond, Escher Allan R, Nahrwold Daniel A, Hoffman Jamie P

机构信息

Anesthesiology, Moffitt Cancer Center and Research Institute, Tampa, USA.

Anesthesiology/Pain Medicine, Moffitt Cancer Center and Research Institute, Tampa, USA.

出版信息

Cureus. 2022 Feb 6;14(2):e21956. doi: 10.7759/cureus.21956. eCollection 2022 Feb.

Abstract

Kennedy's disease (KD), also known as spinal and bulbar muscular atrophy (SBMA), is a rare, X-linked recessive androgen receptor gene mutation affecting approximately one in 40,000 males. A prominent anesthetic concern in patients with KD is their ability to maintain a patent airway following general anesthesia. We present the case of a 61-year-old man with a history of KD presenting for a left thigh sarcoma excision. The patient received a general anesthetic with endotracheal tube placement, was extubated in the operating room upon completion of the surgery, and had an uneventful post-operative course.

摘要

肯尼迪病(KD),又称脊髓延髓肌肉萎缩症(SBMA),是一种罕见的X连锁隐性雄激素受体基因突变疾病,约每40000名男性中就有1人患病。KD患者一个突出的麻醉问题是全身麻醉后维持气道通畅的能力。我们报告一例61岁有KD病史的男性患者,因左大腿肉瘤切除术前来就诊。患者接受了气管插管全身麻醉,手术结束后在手术室拔管,术后过程顺利。

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本文引用的文献

4
Perspectives of Kennedy's disease.肯尼迪病的观点。
J Neurol Sci. 2010 Nov 15;298(1-2):1-10. doi: 10.1016/j.jns.2010.08.025. Epub 2010 Sep 16.

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