Feyerherd F, Wendt M
Klinik und Poliklinik für Anästhesiologie und Intensivmedizin, Ernst-Moritz-Arndt-Universität Greifswald.
Anaesthesiol Reanim. 1994;19(4):95-9.
For an exact evaluation of the risks of operations it is necessary to assess both co-existing and concomitant diseases before the performance of anaesthesia. The relatively low incidence of neurological and muscular diseases (0.02 to 0.7/1,000) and the low probability of an operation of a patient suffering from these diseases lead to higher anaesthesiological risks during the operation and the perioperative period. The anaesthetist is usually not always aware of all the special pathophysiological problems which have to be taken into consideration when these patients have to be anaesthetized. In order to reduce the risk of anaesthesia of these patients, we discuss the most important of these uncommon neurological diseases regarding their special anaesthesiological management.
为了准确评估手术风险,在实施麻醉前有必要对并存疾病和伴随疾病进行评估。神经和肌肉疾病的发病率相对较低(0.02至0.7/1000),且患有这些疾病的患者进行手术的概率较低,这导致手术期间和围手术期的麻醉风险较高。麻醉医生通常并不总是了解在为这些患者实施麻醉时必须考虑的所有特殊病理生理问题。为了降低这些患者的麻醉风险,我们将讨论这些罕见神经疾病中最重要的几种疾病及其特殊的麻醉管理。