Perilli V, Tacchino R, Sollazzi L
Dept. of Anesthesiology and Intensive Care, Catholic University, Rome, Italy.
Acta Anaesthesiol Belg. 1997;48(2):101-5.
We describe the anesthetic management of an obese myotonic patient who underwent bilio-pancreatic diversion for severe obesity. A female, 35 years old (weight 137 kg, height 160 cm, excess body weight 120%) suffered from myotonic dystrophy and obesity, complicated by a mild heart failure and restrictive disease. Induction of anesthesia and tracheal intubation were performed after propofol (1 mg/kg). Anesthesia was maintained with isoflurane and fentanyl muscular blockade by vecuronium bromide. Perioperatively extensive hemodynamic monitoring has been performed. The patient was discharged successfully the 12th day postoperatively. One year later she had lost 50 kgs of body weight; oxygen blood tension and pulmonary function tests were greatly improved.
我们描述了一位肥胖性肌强直患者接受 biliopancreatic 转流术治疗严重肥胖症的麻醉管理情况。一名 35 岁女性（体重 137 千克，身高 160 厘米，超重 120%）患有肌强直性营养不良和肥胖症，并伴有轻度心力衰竭和限制性疾病。在给予丙泊酚（1 毫克/千克）后进行麻醉诱导和气管插管。使用异氟醚和芬太尼维持麻醉，并通过溴化维库溴铵进行肌肉松弛。围手术期进行了广泛的血流动力学监测。患者术后第 12 天成功出院。一年后，她体重减轻了 50 千克；血氧张力和肺功能测试有了显著改善。
