Moore J K, Moore A P
Anaesthesia. 1987 May;42(5):529-33. doi: 10.1111/j.1365-2044.1987.tb04047.x.
A 44-year-old man with known mitral stenosis presented for minor surgery. Anaesthesia was induced with fentanyl, droperidol and etomidate and maintained with nitrous oxide, oxygen and vecuronium. Surgery and anaesthesia were uneventful but the postoperative course was stormy, with respiratory arrest, Haemophilus pneumonia, refractory cardiac dysrhythmias and gastrointestinal atony. A diagnosis of dystrophia myotonica was made after 3 weeks in the intensive care unit, and he spent 6 weeks in hospital. A high index of suspicion for this disease must be maintained and intensive care facilities and monitoring should be available for all procedures.
一名患有二尖瓣狭窄的44岁男性患者接受小型手术。采用芬太尼、氟哌利多和依托咪酯诱导麻醉，并用氧化亚氮、氧气和维库溴铵维持麻醉。手术和麻醉过程顺利，但术后病情复杂，出现呼吸骤停、嗜血杆菌肺炎、难治性心律失常和胃肠道麻痹。在重症监护病房治疗3周后确诊为强直性肌营养不良症，患者住院6周。对于这种疾病必须保持高度怀疑指数，并且所有手术都应具备重症监护设施和监测手段。
