Matsuura T, Okawa I, Matsukawa T, Furuya A
Department of Anesthesia, Ohme City General Hospital.
Masui. 1998 Oct;47(10):1237-9.
We experienced anesthetic management of a 45-yr-old female patient with a 12-yr history of multiple sclerosis who underwent orthopedic surgeries three times under general anesthesia. We chose rapid induction with propofol and maintained the anesthesia with nitrous oxide, oxygen, and sevoflurane. We monitored both core and peripheral temperatures to avoid the rapid increase of core temperature, which might worsen the symptoms of the disease. There is no other report of anesthesia using propofol as induction agent for a patient with multiple sclerosis. We succeeded in the satisfactory perioperative management of the patient.
我们对一位患有多发性硬化症12年的45岁女性患者进行了麻醉管理，该患者在全身麻醉下接受了三次骨科手术。我们选择用丙泊酚进行快速诱导，并使用氧化亚氮、氧气和七氟醚维持麻醉。我们监测了中心体温和外周体温，以避免中心体温快速上升，因为这可能会使病情恶化。目前尚无关于使用丙泊酚作为诱导剂对多发性硬化症患者进行麻醉的其他报道。我们成功地对该患者进行了令人满意的围手术期管理。
