帕金森病患者合并深部脑刺激器行半髋关节置换术的麻醉管理：一例报告
Anesthetic Management of a Patient With Parkinson's Disease and a Deep Brain Stimulator Device for Hemiarthroplasty Surgery: A Case Report.
作者信息
Jooma Zainub
机构信息
Department of Anesthesia, Faculty of Health Sciences, School of Clinical Medicine, University of the Witwatersrand, Johannesburg, ZAF.
Department of Anesthesia, Charlotte Maxeke Johannesburg Academic Hospital, Johannesburg, ZAF.
出版信息
Cureus. 2023 Jul 5;15(7):e41400. doi: 10.7759/cureus.41400. eCollection 2023 Jul.
Parkinson's disease (PD) is a common neurodegenerative disease. The multisystem effects of the disease and its pharmacological treatment have several anesthetic implications. With increasing duration of therapy, pharmacoresistance develops. Deep brain stimulation is a safe and effective treatment for symptom control in advanced PD. Its titratability and reversibility make it an attractive treatment option, and it has replaced surgical ablative procedures for advanced disease management. These devices have several implications in the perioperative period. A case is presented of a 75-year-old patient for urgent hemiarthroplasty surgery with advanced PD and a deep brain stimulator device in situ.
帕金森病（PD）是一种常见的神经退行性疾病。该疾病的多系统影响及其药物治疗具有若干麻醉学意义。随着治疗时间的延长，会出现药物耐受性。深部脑刺激是晚期帕金森病症状控制的一种安全有效的治疗方法。其可调节性和可逆性使其成为一个有吸引力的治疗选择，并且它已取代手术切除程序用于晚期疾病的管理。这些设备在围手术期有若干影响。本文介绍了一例75岁的患者，该患者患有晚期帕金森病且体内植入了深部脑刺激器，因紧急进行半关节置换手术前来就诊。
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