Critchley L A, Gin T, Stuart J C
Department of Anaesthesia and Intensive Care, Chinese University of Hong Kong, Prince of Wales Hospital, Shatin, New Territories.
Anaesthesia. 1995 Jan;50(1):37-8. doi: 10.1111/j.1365-2044.1995.tb04511.x.
The anaesthetic management of a 5-month-old Chinese infant with Rubinstein-Taybi syndrome requiring bilateral inguinal hernia repairs is described. This is a rare congenital syndrome characterised by mental retardation, broad thumbs and first toes, craniofacial abnormalities, recurrent respiratory infections and, in one third of cases, congenital heart disease. General anaesthesia combined with caudal block was successfully used. The main complications encountered were minor difficulties with intubation and easily precipitated episodes of oxygen desaturation.
本文描述了一名5个月大患有鲁宾斯坦-泰比综合征的中国婴儿，在接受双侧腹股沟疝修补术时的麻醉管理情况。这是一种罕见的先天性综合征，其特征为智力发育迟缓、拇指和大脚趾宽阔、颅面异常、反复呼吸道感染，三分之一的病例还伴有先天性心脏病。成功采用了全身麻醉联合骶管阻滞。遇到的主要并发症是插管时有轻微困难以及容易出现氧饱和度下降的情况。
