Zhang Addison H, Dow Cassie L, Bellamy Jack
Anaesthesiology, Rockhampton Hospital, Rockhampton, AUS.
Medicine, University of New South Wales, Kensington, AUS.
Cureus. 2025 May 22;17(5):e84607. doi: 10.7759/cureus.84607. eCollection 2025 May.
We present the case of a 76-year-old lady who underwent an emergency gastroscopy for suspected upper gastrointestinal bleeding on a background of cold agglutinin disease, a rare autoimmune haemolytic anaemia triggered by cold temperatures. Several pre-operative and intra-operative precautions were taken to minimise the risk of hypothermia. Sedation anaesthesia was used with midazolam and gradual titration of propofol with high-flow nasal cannulae to maintain oxygenation. The anaesthetic proceeded safely and without complications, and we compared our technique to the literature.
我们报告了一例76岁女性患者的病例，该患者因疑似上消化道出血接受了急诊胃镜检查，其背景是冷凝集素病，这是一种由低温引发的罕见自身免疫性溶血性贫血。术前和术中采取了多项预防措施以将体温过低的风险降至最低。使用咪达唑仑进行镇静麻醉，并通过高流量鼻导管逐步滴定丙泊酚以维持氧合。麻醉过程安全且无并发症，我们将我们的技术与文献进行了比较。
