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患有强直性肌营养不良症儿童的麻醉管理:硬膜外麻醉作为全身麻醉的替代方法

Anaesthetic management of the child with myotonic dystrophy: epidural anaesthesia as an alternative to general anaesthesia.

作者信息

Tobias J D

机构信息

Department of Anesthesiology, Vanderbilt University, Nashville, Tennessee 37232, USA.

出版信息

Paediatr Anaesth. 1995;5(5):335-8. doi: 10.1111/j.1460-9592.1995.tb00319.x.

DOI:10.1111/j.1460-9592.1995.tb00319.x
PMID:7489478
Abstract

An 11-year-old boy with myotonic dystrophy required anaesthesia for a lower extremity orthopaedic procedure. The management of patients with myotonic dystrophy is discussed including the use of epidural anaesthesia with a continuous chloroprocaine infusion as an alternative to general anaesthesia.

摘要

一名患有强直性肌营养不良的11岁男孩因下肢骨科手术需要麻醉。本文讨论了强直性肌营养不良患者的管理,包括使用持续输注氯普鲁卡因的硬膜外麻醉作为全身麻醉的替代方案。

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Anaesthetic management of the child with myotonic dystrophy: epidural anaesthesia as an alternative to general anaesthesia.患有强直性肌营养不良症儿童的麻醉管理:硬膜外麻醉作为全身麻醉的替代方法
Paediatr Anaesth. 1995;5(5):335-8. doi: 10.1111/j.1460-9592.1995.tb00319.x.
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A safe anesthetic method using caudal block and ketamine for the child with congenital myotonic dystrophy.一种用于先天性肌强直性营养不良患儿的采用骶管阻滞和氯胺酮的安全麻醉方法。
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Chloroprocaine for epidural anesthesia in infants and children.氯普鲁卡因用于婴幼儿硬膜外麻醉。
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pH-adjustment of 2-chloroprocaine quickens the onset of epidural anaesthesia.2-氯普鲁卡因的pH值调整可加快硬膜外麻醉的起效时间。
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The use of small-dose intravenous nitroglycerin in a case of uterine inversion.小剂量静脉注射硝酸甘油在子宫内翻病例中的应用。
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Continuous chloroprocaine infusion for thoracic and caudal epidurals as a postoperative analgesia modality in neonates, infants, and children.持续输注氯普鲁卡因用于新生儿、婴儿和儿童胸段及骶管硬膜外术后镇痛。
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Successful epidural anaesthesia for a patient with Takayasu's arteritis presenting for caesarean section.成功为一名患有大动脉炎并前来进行剖宫产手术的患者实施硬膜外麻醉。
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引用本文的文献

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Saudi J Anaesth. 2025 Jan-Mar;19(1):86-91. doi: 10.4103/sja.sja_567_24. Epub 2025 Jan 1.
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Use of Sugammadex in a Patient With Myotonic Dystrophy.舒更葡糖钠在一名强直性肌营养不良患者中的应用。
Cardiol Res. 2018 Feb;9(1):50-52. doi: 10.14740/cr650w. Epub 2018 Feb 11.
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Thoracic epidural infusion with chloroprocaine for postoperative analgesia following epicardial pacemaker placement in an infant.
婴儿心外膜起搏器安置术后氯普鲁卡因胸段硬膜外输注用于镇痛。
J Pain Res. 2014 Oct 23;7:609-13. doi: 10.2147/JPR.S73309. eCollection 2014.
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Benefit and risks of local anesthetics in infants and children.局部麻醉药在婴幼儿中的益处与风险。
Paediatr Drugs. 2002;4(10):649-72. doi: 10.2165/00128072-200204100-00003.