Fukuda H, Saitoh K, Hirabayashi Y, Mitsuhata H, Kasuda H, Akazawa S, Shimizu R
Department of Anesthesiology, Jichi Medical School, Tochigi.
Masui. 1995 Apr;44(4):563-5.
A 41-year-old woman with pulmonary lymphangiomyomatosis had been scheduled for bilateral oophorectomy which led to amelioration of the pulmonary pathology. The discrepancy between her dyspnea on exertion and lung function tests suggested that she had a marked tendency toward hypochondria. Therefore, we chose spinal anesthesia because of its technical simplicity, rapid onset, and effectiveness of some sedatives used perioperatively. Surgery was performed uneventfully. The anesthetic method mentioned above did not worsen respiratory function perioperatively. Spinal anesthesia is thought to be appropriate anesthesia for patients with pulmonary lymphangiomyomatosis, if feasible.
一名患有肺淋巴管平滑肌瘤病的41岁女性计划接受双侧卵巢切除术，该手术使肺部病变得到改善。她运动时呼吸困难与肺功能测试结果之间的差异表明她有明显的疑病症倾向。因此，我们选择脊髓麻醉，因为其技术操作简单、起效快，且围手术期使用的一些镇静剂有效。手术顺利进行。上述麻醉方法在围手术期并未使呼吸功能恶化。如果可行，脊髓麻醉被认为是适合肺淋巴管平滑肌瘤病患者的麻醉方式。
