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2
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本文引用的文献

1
Anesthetic management of a patient with chronic inflammatory demyelinating polyneuropathy by combination of total intravenous and regional anesthesia.慢性炎症性脱髓鞘性多发性神经病患者采用全静脉麻醉与区域麻醉联合的麻醉管理。
JA Clin Rep. 2019 Mar 9;5(1):19. doi: 10.1186/s40981-019-0241-2.
2
Chronic inflammatory demyelinating polyneuropathy: update on diagnosis, immunopathogenesis and treatment.慢性炎症性脱髓鞘性多发性神经病：诊断、免疫发病机制和治疗的最新进展。
J Neurol Neurosurg Psychiatry. 2019 Sep;90(9):981-987. doi: 10.1136/jnnp-2019-320314. Epub 2019 Apr 16.
3
Chronic inflammatory demyelinating polyradiculoneuropathy and anesthesia: a case series.
Acta Neurol Belg. 2017 Dec;117(4):895-901. doi: 10.1007/s13760-017-0836-1. Epub 2017 Sep 21.
4
[Anesthetic Management of Three Patients with Chronic Inflammatory Demyelinating Polyradiculoneuropathy].[三例慢性炎症性脱髓鞘性多发性神经根神经病患者的麻醉管理]
Masui. 2015 Aug;64(8):852-5.
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Cardiac arrest after succinylcholine administration in a patient recovering from Guillain-Barre syndrome.在一名正在从吉兰-巴雷综合征恢复的患者中，给予琥珀酰胆碱后发生心脏骤停。
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Neuromuscular disease and anesthesia.神经肌肉疾病与麻醉。
Muscle Nerve. 2013 Sep;48(3):451-60. doi: 10.1002/mus.23817. Epub 2013 Jul 27.
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Succinylcholine-induced hyperkalemia in a patient with multiple sclerosis.多发性硬化症患者琥珀酰胆碱诱发的高钾血症。
J Emerg Med. 2012 Aug;43(2):279-82. doi: 10.1016/j.jemermed.2011.06.062. Epub 2011 Dec 3.
8
Anaesthetic management and implications of a case of chronic inflammatory demyelinating polyneuropathy.一例慢性炎症性脱髓鞘性多发性神经病患者的麻醉管理及影响
Indian J Anaesth. 2011 May;55(3):277-9. doi: 10.4103/0019-5049.82683.
9
Cardiac arrhythmia after succinylcholine administration in a patient with Guillain-Barré syndrome--a case report.格林-巴利综合征患者使用琥珀酰胆碱后发生心律失常——病例报告
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10
Characterization of the interactions between volatile anesthetics and neuromuscular blockers at the muscle nicotinic acetylcholine receptor.挥发性麻醉剂与肌肉烟碱型乙酰胆碱受体处神经肌肉阻滞剂之间相互作用的特性研究
Anesth Analg. 2002 Aug;95(2):362-7, table of contents. doi: 10.1097/00000539-200208000-00022.

Lewis-Sumner综合征的围手术期管理

Perioperative Management of Lewis-Sumner Syndrome.

作者信息

Sales Filipa, Cruz Ana Raquel S, Maldonado Filipa, Cunha Mariana

机构信息

Anesthesiology, Hospital Pedro Hispano, Matosinhos, PRT.

出版信息

Cureus. 2023 Mar 17;15(3):e36297. doi: 10.7759/cureus.36297. eCollection 2023 Mar.

DOI:10.7759/cureus.36297
PMID:37073183
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10106104/
Abstract

Lewis-Sumner syndrome (LSS) is a rare immune-mediated neuromuscular disorder. It shares some clinical and pathological features with chronic inflammatory demyelinating polyneuropathy (CIDP). We report on the anaesthetic management of a patient with LSS. There are several concerns when anaesthetizing patients with demyelinating neuropathies, the main ones being the post-operative worsening of symptoms and respiratory depression related to muscle relaxants. In our experience, the rocuronium effect was prolonged and an even lower dosage (0.4 mg/kg) was sufficient for intubation and maintenance. Sugammadex allowed total reversion of neuromuscular block and no respiratory complications occurred. In conclusion, the combination of lower dose rocuronium and sugammadex was safely used in a patient with LSS.

摘要

刘易斯-萨姆纳综合征（LSS）是一种罕见的免疫介导性神经肌肉疾病。它与慢性炎症性脱髓鞘性多发性神经病（CIDP）有一些临床和病理特征。我们报告一例LSS患者的麻醉管理。麻醉脱髓鞘性神经病患者时有几个问题需要关注，主要问题是术后症状加重以及与肌肉松弛剂相关的呼吸抑制。根据我们的经验，罗库溴铵的作用时间延长，更低剂量（0.4mg/kg）就足以用于插管和维持麻醉。舒更葡糖可使神经肌肉阻滞完全逆转，且未发生呼吸并发症。总之，低剂量罗库溴铵和舒更葡糖联合应用于一名LSS患者是安全的。