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一名患有面肩肱型肌营养不良症的儿科患者的麻醉方法

Anesthetic Approach for a Pediatric Patient With Facioscapulohumeral Muscular Dystrophy.

作者信息

Santos Conceição C, Ferreira Carla I, Carvalho Erica, Amaro Maria R, Gomes Cristina

机构信息

Anesthesiology and Perioperative Medicine, Hospital de Braga, Braga, PRT.

出版信息

Cureus. 2024 Sep 10;16(9):e69058. doi: 10.7759/cureus.69058. eCollection 2024 Sep.

DOI:10.7759/cureus.69058
PMID:39391391
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11465398/
Abstract

Facioscapulohumeral muscular dystrophy (FSHD) belongs to the group of rare diseases known as muscular dystrophies. Patients with muscular dystrophies face a heightened risk of intraoperative complications, including severe hyperkalemia and acute rhabdomyolysis. This case report outlines the anesthetic approach employed for a pediatric patient diagnosed with FSHD undergoing a planned exploratory tympanotomy. To the best of our knowledge, it is the first documented case in the literature detailing pediatric general anesthesia in a patient with FSHD, with the additional use of neuromuscular blockade reversal with sugammadex.

摘要

面肩肱型肌营养不良症（FSHD）属于称为肌营养不良症的罕见病组。患有肌营养不良症的患者面临术中并发症的风险增加，包括严重高钾血症和急性横纹肌溶解。本病例报告概述了一名被诊断为FSHD的儿科患者在计划进行的探查性鼓室切开术中所采用的麻醉方法。据我们所知，这是文献中首次记录的详细描述FSHD患者儿科全身麻醉的病例，同时额外使用了舒更葡糖进行神经肌肉阻滞逆转。

相似文献

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Anesthetic Approach for a Pediatric Patient With Facioscapulohumeral Muscular Dystrophy.一名患有面肩肱型肌营养不良症的儿科患者的麻醉方法
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2
Anticipation Avoids Adversity: Anesthetic Management of a Case of Facioscapulohumeral Dystrophy (FSHD).预判可避免逆境：一例面肩肱型肌营养不良症（FSHD）的麻醉管理
Cureus. 2023 Jan 31;15(1):e34442. doi: 10.7759/cureus.34442. eCollection 2023 Jan.
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本文引用的文献

1
A Review on the Anesthetic Management of Patients with Neuromuscular Diseases.神经肌肉疾病患者的麻醉管理综述
Anesth Pain Med. 2023 Jan 25;13(1):e132088. doi: 10.5812/aapm-132088. eCollection 2023 Feb.
2
European Neuromuscular Centre consensus statement on anaesthesia in patients with neuromuscular disorders.欧洲神经肌肉中心关于神经肌肉疾病患者麻醉的共识声明。
Eur J Neurol. 2022 Dec;29(12):3486-3507. doi: 10.1111/ene.15526. Epub 2022 Sep 14.
3
Anaesthesia and neuromuscular disorders: what a neurologist needs to know.麻醉与神经肌肉疾病：神经科医生需要了解的内容。
Pract Neurol. 2020 Oct 27. doi: 10.1136/practneurol-2020-002633.
4
[Rocuronium and sugammadex use for the management of neuromuscular blockade in urgent abdominal surgery in a patient with Landouzy-Dejerine myopathy].[罗库溴铵与舒更葡糖在一名患有兰杜齐-德热里纳肌病患者的急诊腹部手术中用于管理神经肌肉阻滞]
Ann Fr Anesth Reanim. 2014 Nov;33(11):587-9. doi: 10.1016/j.annfar.2014.08.003. Epub 2014 Oct 11.
5
DUX4-induced gene expression is the major molecular signature in FSHD skeletal muscle.DUX4诱导的基因表达是面肩肱型肌营养不良症骨骼肌中的主要分子特征。
Hum Mol Genet. 2014 Oct 15;23(20):5342-52. doi: 10.1093/hmg/ddu251. Epub 2014 May 26.
6
Undiagnosed myopathy before surgery and safe anaesthesia table.术前未诊断的肌病与安全麻醉台。
Acta Myol. 2013 Oct;32(2):100-5.
7
The muscular dystrophies.肌营养不良症
Continuum (Minneap Minn). 2013 Dec;19(6 Muscle Disease):1535-70. doi: 10.1212/01.CON.0000440659.41675.8b.
8
Genomics: Implications for anesthesia, perioperative care and outcomes.基因组学：对麻醉、围手术期护理及预后的影响。
Adv Anesth. 2009;27(1):73-94. doi: 10.1016/j.aan.2009.07.006.
9
Malignant hyperthermia and muscular dystrophies.恶性高热与肌营养不良症。
Anesth Analg. 2009 Oct;109(4):1043-8. doi: 10.1213/ane.0b013e3181aa5cf6.
10
The muscular dystrophies.肌营养不良症
Lancet. 2002 Feb 23;359(9307):687-95. doi: 10.1016/S0140-6736(02)07815-7.