O'Higashi T, Shirakami G, Sasai S, Shinomura T, Kato S, Tomoda K
Department of Anesthesia, Shiga Medical Center for Children, Moriyama.
Masui. 1995 May;44(5):723-8.
Spinal anesthesia was applied on 8 occasions to 7 patients with progressive muscular dystrophy (PMD) undergoing orthopedic lower limb surgery. No postoperative complication occurred in all patients. During the operations, however, two patients were subjected to high spinal anesthesia, which caused ventilatory suppression in one patient and bronchial asthma attack in another. Both respiratory complications were easily managed by ventilatory assistance with endotracheal intubation or by administration of bronchodilator, respectively. High spinal anesthesia should be avoided in applying spinal anesthesia to patients with PMD.
对7例进行下肢矫形手术的进行性肌营养不良（PMD）患者实施了8次脊髓麻醉。所有患者均未发生术后并发症。然而，手术过程中，2例患者发生高位脊髓麻醉，其中1例导致通气抑制，另1例引发支气管哮喘发作。这两种呼吸系统并发症分别通过气管插管通气辅助或给予支气管扩张剂轻松得到处理。对PMD患者实施脊髓麻醉时应避免高位脊髓麻醉。
