Nagai H, Noda Y, Mase K, Ogawa S, Suzuki H
Department of Anesthesiology, Sagamihara Kyodo Hospital.
Masui. 1996 Jan;45(1):99-101.
We did anesthetic management on a pediatric patient with Cornelia de Lange syndrome presenting a peculiar look, variable physical deformities, and some growth and mental retardations. An 8-year-old male patient was scheduled for inguinal hernioplasty under general anesthesia. This patient had been suffering from dehydration for apodeisis and self-destructive tendency due to psychologic stress. Anesthesia was induced and maintained with sevoflurane and N2O in oxygen. The area of skin incision was infiltrated with 0.25 % bupivacaine for the purpose of post-operative analgesia, and as a result, psychologically and physically stable condition was obtained during post-operative periods. It is necessary to understand not only the patient's physical conditions but also mental ones in order to make the anesthetic management safer and more satisfactory.
我们对一名患有科妮莉亚·德朗热综合征的儿科患者进行了麻醉管理，该患者外观奇特，身体畸形多样，并有一些生长和智力发育迟缓问题。一名8岁男性患者计划在全身麻醉下进行腹股沟疝修补术。该患者因心理压力一直存在脱水、脱屑和自我毁灭倾向。采用七氟醚和氧化亚氮在氧气中诱导和维持麻醉。为了术后镇痛，在皮肤切口区域注射了0.25%布比卡因，结果在术后期间获得了心理和身体上的稳定状态。为了使麻醉管理更安全、更令人满意，不仅有必要了解患者的身体状况，还需要了解其心理状况。
