Carlot A, Gallo F, Alberti A, Fongaro A, Valenti S
Servizio di Anestesia e Rianimazione, Ospedale Civile, Dolo, Venezia.
Minerva Anestesiol. 1995 Mar;61(3):101-4.
The authors report the case of a patient with juvenile rheumatoid arthritis (Still's disease) who underwent laparotomic hysterectomy under general anesthesia. Tracheal intubation was performed with the aid of a fibroscope, as recommended in the literature, given that impairment of the cervical spine and the temporo-mandibular joint made it extremely unlikely that direct laryngoscopy could be performed. The authors also report the methods recommended by other authors in order to guarantee a sufficiently deep anesthetic plane together with patency of the airways in patients suffering from Still's disease.
作者报告了一例患青少年类风湿性关节炎(斯蒂尔病)的患者在全身麻醉下接受剖腹子宫切除术的病例。鉴于颈椎和颞下颌关节受损使得直接喉镜检查极不可能进行,因此按照文献建议,在纤维镜辅助下进行气管插管。作者还报告了其他作者推荐的方法,以便在斯蒂尔病患者中确保足够深的麻醉平面并保持气道通畅。