Saarnivaara L, Kautto U M, Teräväinen H
Acta Anaesthesiol Scand. 1983 Apr;27(2):123-5. doi: 10.1111/j.1399-6576.1983.tb01920.x.
A 58-year-old man with the Shy-Dräger syndrome underwent laryngo- and tracheoscopies in general anaesthesia for evaluation of the larynx after tracheostomy following bilateral vocal cord paralysis. A profound fall in arterial pressure during anaesthesia induced with thiopentone has been demonstrated in previously reported patients with the Shy-Dräger syndrome. In the present patient, anaesthesia induced with ketamine, maintained with nitrous oxide in oxygen and supplemented with fentanyl, diazepam and suxamethonium did not cause a fall in arterial pressure.
一名患有夏伊-德雷格综合征的58岁男性，因双侧声带麻痹行气管切开术后，为评估喉部情况，在全身麻醉下接受了喉镜检查和气管镜检查。先前报道的患有夏伊-德雷格综合征的患者中，已证实硫喷妥钠诱导麻醉期间动脉压会大幅下降。在本患者中，氯胺酮诱导麻醉，氧化亚氮-氧气维持麻醉，并补充芬太尼、地西泮和琥珀酰胆碱，未引起动脉压下降。
