Blanloeil Y, Rochedreux A, Arnould J F, Souron R, Dixneuf B
Ann Fr Anesth Reanim. 1984;3(4):303-5. doi: 10.1016/s0750-7658(84)80124-0.
Respiratory difficulties have long been recognized to be a major risk in patients with myotonia dystrophica, but postoperative pulmonary complications have only rarely been considered. Two cases of postoperative pulmonary complications which led to the patients's death stressed the severity and difficulty of treatment of these complications. A third case of postoperative respiratory failure revealed the underlying disease. These cases showed all the more the importance of preventing pulmonary complications. Pre-, per- and postoperative measures, chosen with respect to the severity of the myotonia and the seat of the surgical procedure, are suggested.
长期以来，人们一直认为呼吸困难是强直性肌营养不良患者的主要风险，但术后肺部并发症却很少被考虑。两例术后肺部并发症导致患者死亡的病例凸显了这些并发症治疗的严重性和难度。第三例术后呼吸衰竭病例揭示了潜在疾病。这些病例更凸显了预防肺部并发症的重要性。建议根据强直性肌强直的严重程度和手术部位选择术前、术中和术后的措施。
