Hattori S, Kudoh H, Miyamoto M, Katoh K, Oda S, Taniguchi K, Honda N
Department of Anesthesia, Yame General Public Hospital.
Masui. 1996 Sep;45(9):1127-30.
We gave anesthesia to a patient with erythroderma for distal partial gastrectomy. Erythroderma is an inflammatory disorder in which generalized erythema and scaling occur, either as a specific phase of processes such as T cell lymphoma, as a manifestation of underlying malignancy or in the absence of preexisting diseases. Severe cases of erythroderma may involve disturbances in the cardiovascular, thermoregulatory and metabolic systems which make the management of general anesthesia difficult. Systemic scale also causes a difficulty in placing ECG monitor electrodes and endotracheal tube. In the present case, dyspnea and asthmatic bronchitis occurred postoperatively. Therefore, in a patient with erythroderma, we recommend careful systemic management throughout the perioperative period.
我们为一名红皮病患者实施麻醉以进行远端部分胃切除术。红皮病是一种炎症性疾病，表现为全身性红斑和脱屑，可作为T细胞淋巴瘤等疾病的特定阶段、潜在恶性肿瘤的表现或在无既往疾病的情况下出现。严重的红皮病病例可能涉及心血管、体温调节和代谢系统紊乱，这使得全身麻醉的管理变得困难。全身性脱屑还会导致放置心电图监测电极和气管内导管困难。在本病例中，术后出现了呼吸困难和哮喘性支气管炎。因此，对于红皮病患者，我们建议在整个围手术期进行仔细的全身管理。
