Fujiwara M, Shirakami G, Mori K
Department of Anesthesiology, Kyoto University Hospital.
Masui. 1995 Dec;44(12):1695-9.
Young's syndrome is characterized by chronic sinopulmonary infections and obstructive azoospermia due to systemic mucociliary transport failure. We gave anesthesia to four adult male patients with Young's syndrome for microsurgical epididymovasostomy or epididymal sperm aspiration. Preoperatively, all patients had no or mild clinical manifestation of the lung disease. Intraoperatively, however, three of four patients had voluminous tracheal discharge and two of them showed low arterial oxygen tension. Postoperatively, massive sputa secretion continued. In anesthesia for the patients with Young's syndrome, although they show no or little respiratory symptoms before anesthesia, attention should be paid to lung complication during and after anesthesia.
杨氏综合征的特征是由于全身黏液纤毛运输功能衰竭导致慢性鼻窦肺部感染和梗阻性无精子症。我们为4例患有杨氏综合征的成年男性患者进行了显微外科附睾输精管吻合术或附睾精子抽吸术的麻醉。术前，所有患者均无肺部疾病临床表现或仅有轻微临床表现。然而，术中4例患者中有3例气管分泌物大量增加，其中2例出现动脉血氧分压降低。术后，大量痰液分泌仍持续存在。对于杨氏综合征患者的麻醉，尽管他们在麻醉前无或仅有轻微呼吸道症状，但在麻醉期间和麻醉后应注意肺部并发症。
