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强直性脊柱炎患者髋关节置换术的麻醉

Anaesthesia for hip replacement in ankylosing spondylitis.

作者信息

Wittmann F W, Ring P A

出版信息

J R Soc Med. 1986 Aug;79(8):457-9. doi: 10.1177/014107688607900808.

DOI:10.1177/014107688607900808
PMID:3761289
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1290415/
Abstract

Thirteen total hip replacements in 8 patients with ankylosing spondylitis are reviewed. Complications of the disease which can lead to anaesthetic difficulties are discussed, and the importance of a preoperative visit and the value of indirect laryngoscopy emphasized. As intubation problems may occur, especially in undiagnosed cases, equipment for emergency intubation should always be readily available. The results fully justify the operation.

摘要

回顾了8例强直性脊柱炎患者的13例全髋关节置换术。讨论了该疾病可能导致麻醉困难的并发症,强调了术前访视的重要性以及间接喉镜检查的价值。由于可能会出现插管问题,尤其是在未确诊的病例中,紧急插管设备应随时可用。结果充分证明了该手术的合理性。

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本文引用的文献

1
Spontaneous Atlanto-Axial Dislocation in Ankylosing Spondylitis and Rheumatoid Arthritis.强直性脊柱炎和类风湿关节炎中的自发性寰枢椎脱位
Ann Rheum Dis. 1961 Mar;20(1):47-77. doi: 10.1136/ard.20.1.47.
2
Iritis as the presenting symptom in ankylosing spondylitis.
Lancet. 1951 Nov 3;2(6688):802-3. doi: 10.1016/s0140-6736(51)91592-9.
3
Lesions of cardiac conduction tissue in rheumatoid aortitis.
JAMA. 1962 Apr 7;180:1-5. doi: 10.1001/jama.1962.03050140003001.
4
Pathology of ankylosing spondylitis.强直性脊柱炎的病理学
Bull Rheum Dis. 1960 Mar;10:211-4.
5
The occipito-atlanto-axial joints in rheumatoid arthritis and ankylosing spondylitis.类风湿关节炎和强直性脊柱炎中的枕寰枢关节
Am J Roentgenol Radium Ther Nucl Med. 1961 Aug;86:223-40.
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The carditis and aortitis of ankylosing spondylitis.强直性脊柱炎的心脏炎和主动脉炎。
Bull Rheum Dis. 1958 Nov;9(3):171-4.
7
Prostatitis and ankylosing spondylitis.前列腺炎和强直性脊柱炎。
Br Med J. 1958 Mar 29;1(5073):748-51. doi: 10.1136/bmj.1.5073.748.
8
Differential diagnosis of ankylosing spondylitis.强直性脊柱炎的鉴别诊断。
Br Med J. 1957 Apr 27;1(5025):975-8. doi: 10.1136/bmj.1.5025.975.
9
Rheumatoid aortitis with aortic regurgitation; an unusual manifestation of rheumatoid arthritis (including spondylitis).类风湿性主动脉炎伴主动脉瓣关闭不全;类风湿性关节炎(包括脊柱炎)的一种罕见表现。
Am J Med. 1957 Apr;22(4):580-92. doi: 10.1016/0002-9343(57)90111-0.
10
The natural history of rheumatoid spondylitis.类风湿性脊柱炎的自然病史。
Medicine (Baltimore). 1956 Feb;35(1):1-31. doi: 10.1097/00005792-195602000-00001.