一名患有MURCS综合征的儿科患者的气道管理策略：病例报告。
Airway management strategies in a pediatric patient with MURCS association: A case report.
作者信息
Lin Xu-Nian, Chan Wing-Sum, Lu Cheng-Wei
机构信息
Department of Anesthesiology, Far Eastern Memorial Hospital, New Taipei City 220, Taiwan.
Department of Mechanical Engineering, Yuan Ze University, Taoyuan 32003, Taiwan.
出版信息
World J Clin Cases. 2025 Oct 6;13(28):106852. doi: 10.12998/wjcc.v13.i28.106852.
BACKGROUND
MURCS association, an acronym for Müllerian duct aplasia/hypoplasia, congenital renal agenesis/ectopia, and cervical somite dysplasia, presents unique anaesthetic challenges, particularly for airway control due to cervical spine anomalies. This case report adds to the limited literature by detailing airway management strategies in a paediatric patient with MURCS, emphasising the need for thorough preoperative evaluation and curated planning.
CASE SUMMARY
This report describes the successful anaesthetic and airway management of a 6-year-old girl with MURCS undergoing dental extraction. To address the complexities of the patient's condition, a multidisciplinary approach involving comprehensive preoperative assessment, meticulous planning, and advanced airway management techniques was adopted.
CONCLUSION
This report emphasizes individualized anesthetic strategies and interprofessional collaboration for managing rare congenital syndromes.
背景
MURCS 综合征，是苗勒管发育不全/发育不良、先天性肾缺如/异位和颈椎体节发育异常的首字母缩写，带来了独特的麻醉挑战，尤其是由于颈椎异常导致的气道控制问题。本病例报告通过详细描述一名患有 MURCS 综合征的儿科患者的气道管理策略，补充了有限的文献资料，强调了术前全面评估和精心规划的必要性。
病例摘要
本报告描述了一名患有 MURCS 综合征的 6 岁女孩在拔牙过程中成功的麻醉和气道管理。为应对患者病情的复杂性，采用了多学科方法，包括全面的术前评估、细致的规划和先进的气道管理技术。
结论
本报告强调了针对罕见先天性综合征进行个体化麻醉策略和跨专业协作的重要性。
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