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高安动脉炎:病例研究

Takayasu's arteritis: a case study.

作者信息

Winiecki M W

出版信息

AANA J. 1993 Apr;61(2):133-6.

PMID:8104370
Abstract

A case study is presented of a 33-year-old female who was diagnosed with Takayasu's arteritis. The patient underwent a laparoscopic tubal ligation under general anesthesia without complication. Takayasu's arteritis is a chronic inflammatory disease seen primarily in women. It can involve the aorta and its major branches, as well as the coronary, hepatic, mesenteric, pulmonary, and renal arteries. Takayasu's syndrome is also known as the "pulseless disease," because of the characteristic lack of peripheral pulses. A wide variety of presentations are possible with this syndrome. Patients range from asymptomatic to severely compromised, and their medical condition and previous therapy can offer an interesting set of challenges. Monitoring patients with Takayasu's syndrome can give rise to several unusual problems. This case study discusses the anesthetic management of the patient with Takayasu's arteritis.

摘要

本文介绍了一名33岁被诊断为高安动脉炎的女性患者的病例研究。该患者在全身麻醉下接受了腹腔镜输卵管结扎术,未出现并发症。高安动脉炎是一种主要见于女性的慢性炎症性疾病。它可累及主动脉及其主要分支,以及冠状动脉、肝动脉、肠系膜动脉、肺动脉和肾动脉。高安综合征也被称为“无脉症”,因为其特征是外周脉搏缺失。该综合征有多种表现形式。患者从无症状到病情严重受损不等,他们的病情和既往治疗可能带来一系列有趣的挑战。监测高安综合征患者可能会出现一些不寻常的问题。本病例研究讨论了高安动脉炎患者的麻醉管理。

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