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一名患有结肠癌的肢带型肌营养不良患者的麻醉挑战

Anesthetic Challenges of a Patient With Limb-Girdle Muscular Dystrophy in a Patient With Colon Cancer.

作者信息

Smith Austin, Yeoh Cindy, Massengill Christopher, Yang Wendy, Mahil Amreesh

机构信息

Department of Anesthesiology, Moffitt Cancer Center, Tampa, USA.

Morsani College of Medicine, University of South Florida Morsani College of Medicine, Tampa, USA.

出版信息

Cureus. 2024 Sep 9;16(9):e69009. doi: 10.7759/cureus.69009. eCollection 2024 Sep.

DOI:10.7759/cureus.69009
PMID:39385877
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11463715/
Abstract

Limb-girdle muscular dystrophy (LGMD) presents a unique challenge for anesthesiologists because of the potential complications related to surgery and anesthesia. This is a case of a 55-year-old male with colon cancer and a history of LGMD, who underwent a low anterior resection colectomy under general anesthesia. Because of the pathogenic variants in the RYR1 gene implicated in various congenital myopathies, we review clinical concerns associated with LGMD and describe the anesthetic management of our patient with LGMD and a potentially difficult airway.

摘要

肢带型肌营养不良症(LGMD)给麻醉医生带来了独特的挑战,因为存在与手术和麻醉相关的潜在并发症。这是一例55岁男性结肠癌患者,有LGMD病史,在全身麻醉下接受了低位前切除术结肠切除术。由于RYR1基因的致病变异与多种先天性肌病有关,我们回顾了与LGMD相关的临床问题,并描述了对这位患有LGMD且气道可能困难的患者的麻醉管理。

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本文引用的文献

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LGMD. Identification, description and classification.LGMD. 鉴定、描述和分类。
Acta Myol. 2020 Dec 1;39(4):207-217. doi: 10.36185/2532-1900-024. eCollection 2020 Dec.
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Anesthetic management of a patient with limb-girdle muscular dystrophy 2B:CARE-compliant case report and literature review.
肢带型肌营养不良2B型患者的麻醉管理:符合CARE标准的病例报告及文献综述
BMC Anesthesiol. 2019 Aug 17;19(1):155. doi: 10.1186/s12871-019-0813-8.
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Anaesthetic management of patients with myopathies.肌病患者的麻醉管理。
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The Limb-Girdle Muscular Dystrophies and the Dystrophinopathies.肢带型肌营养不良症和肌营养不良蛋白病
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The Classification, Natural History and Treatment of the Limb Girdle Muscular Dystrophies.肢带型肌营养不良症的分类、自然史及治疗
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Anaesthetic Management of a Child with Limb-Girdle Muscular Dystrophy.一名肢带型肌营养不良患儿的麻醉管理
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