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肥厚型心肌病患者行鼻内镜下眼眶减压术的围手术期影响：一例报告

Perioperative Implications in a Hypertrophic Cardiomyopathy Patient Undergoing Endonasal Orbital Decompression: A Case Report.

作者信息

Tikait Priyanka D, Sharma Ridhima, Kewlani Anu, Kutum Chayanika, Choudhary Ripon

机构信息

Department of Anaesthesiology, All India Institute of Medical Sciences, Nagpur, Nagpur, IND.

Department of Anaesthesiology, Maulana Azad Medical College, New Delhi, IND.

出版信息

Cureus. 2024 Aug 18;16(8):e67115. doi: 10.7759/cureus.67115. eCollection 2024 Aug.

DOI:10.7759/cureus.67115
PMID:39290945
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11406825/
Abstract

Thyroid eye disease (TED) is an autoimmune disease of the retro-ocular tissue and occurs in patients with Graves' disease with hyperthyroidism. In severe cases, it can lead to vision loss; hence, timely management is important. Hypertrophic cardiomyopathy (HCM) is one of the systemic manifestations related to hyperthyroidism. We present a case of successful perioperative management of Graves' disease with TED and HCM posted for endonasal decompression surgery. Hyperthyroidism itself has many implications on perioperative anesthetic management, which can become more complicated when associated with co-existing HCM. However, our case proves that detailed preoperative evaluation, vigilant intraoperative monitoring, and adequate analgesia can lead to a smooth perioperative course for HCM patients for non-cardiac surgeries.

摘要

甲状腺眼病（TED）是一种眼后组织的自身免疫性疾病，发生于患有甲状腺功能亢进的格雷夫斯病患者。在严重情况下，它可导致视力丧失；因此，及时治疗很重要。肥厚型心肌病（HCM）是与甲状腺功能亢进相关的全身表现之一。我们报告一例患有TED和HCM并计划行鼻内减压手术的格雷夫斯病患者围手术期成功管理的病例。甲状腺功能亢进本身对围手术期麻醉管理有诸多影响，当合并HCM时情况可能会更复杂。然而，我们的病例证明，详细的术前评估、 vigilant术中监测和充分的镇痛可使HCM患者进行非心脏手术时围手术期过程顺利。 （注：“vigilant”疑似拼写有误，可能是“vigilant”，意为“警惕的” ）

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dec4/11406825/de39f0a4f983/cureus-0016-00000067115-i05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dec4/11406825/bf77dbf4e98e/cureus-0016-00000067115-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dec4/11406825/4f2aed46f985/cureus-0016-00000067115-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dec4/11406825/85e4c8251648/cureus-0016-00000067115-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dec4/11406825/b87f0a3138dc/cureus-0016-00000067115-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dec4/11406825/de39f0a4f983/cureus-0016-00000067115-i05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dec4/11406825/bf77dbf4e98e/cureus-0016-00000067115-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dec4/11406825/4f2aed46f985/cureus-0016-00000067115-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dec4/11406825/85e4c8251648/cureus-0016-00000067115-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dec4/11406825/b87f0a3138dc/cureus-0016-00000067115-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dec4/11406825/de39f0a4f983/cureus-0016-00000067115-i05.jpg

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本文引用的文献

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Regional Anesthesia for Arthroscopic Knee Repair in a Patient With Hypertrophic Obstructive Cardiomyopathy (HOCM) Under Monitored Anesthesia Care With Dexmedetomidine Infusion.在右美托咪定输注监护麻醉下，对一名肥厚型梗阻性心肌病（HOCM）患者进行关节镜下膝关节修复术的区域麻醉。
Cureus. 2024 Feb 8;16(2):e53862. doi: 10.7759/cureus.53862. eCollection 2024 Feb.
2
Perioperative management of the thyrotoxic patients: A systematic review.甲状腺毒症患者的围手术期管理：一项系统评价
Ann Med Surg (Lond). 2022 Aug 28;81:104487. doi: 10.1016/j.amsu.2022.104487. eCollection 2022 Sep.
3
Use of Peripheral Nerve Blocks in Perioperative Management of Cases with Hypertrophic Cardiomyopathy Undergoing Lower Limb Orthopedic Surgeries.
周围神经阻滞在肥厚型心肌病患者下肢骨科手术围手术期管理中的应用
Anesth Essays Res. 2020 Apr-Jun;14(2):277-282. doi: 10.4103/aer.AER_48_20. Epub 2020 Oct 12.
4
Anaesthesia for ophthalmic procedures in patients with thyroid eye disease.甲状腺眼病患者眼科手术的麻醉
Anaesth Intensive Care. 2020 Nov;48(6):430-438. doi: 10.1177/0310057X20957018. Epub 2020 Nov 16.
5
Perioperative anesthetic management of patients with hypertrophic cardiomyopathy for noncardiac surgery: a case series.肥厚型心肌病患者非心脏手术的围手术期麻醉管理：病例系列
Ann Card Anaesth. 2010 Sep-Dec;13(3):253-6. doi: 10.4103/0971-9784.69049.
6
Anesthetic management of a patient with hypertrophic obstructive cardiomyopathy with dual-chamber pacemaker undergoing transurethral resection of the prostate.
Ann Card Anaesth. 2010 Sep-Dec;13(3):246-8. doi: 10.4103/0971-9784.69043.
7
Anesthetic management of a patient with hypertrophic obstructive cardiomyopathy undergoing modified radical mastectomy.肥厚性梗阻性心肌病患者行改良根治性乳房切除术的麻醉管理。
Middle East J Anaesthesiol. 2010 Jun;20(5):739-42.
8
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Circulation. 2008 Jan 22;117(3):429-39. doi: 10.1161/CIRCULATIONAHA.107.694158.
9
Hypertrophic cardiomyopathy.肥厚型心肌病
Anesthesiology. 2006 Jan;104(1):183-92. doi: 10.1097/00000542-200601000-00025.
10
The management of hypertrophic cardiomyopathy.肥厚型心肌病的管理
N Engl J Med. 1997 Mar 13;336(11):775-85. doi: 10.1056/NEJM199703133361107.