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| 一位斯坦纳特（Steinert's）病患者在连续腰麻下行腹腔镜胆囊切除术 Colecistectomia laparoscópica sob raquianestesia contínua em paciente com doença de Steinert Steinert's disease（斯太纳特病；营养不良性肌强直/Myotonic Dystrophy）-医学百科: http://www.dxye.com/thread-23623-1-1.html  Abstract 摘要 Steinert's disease is an intrinsic disorder of the muscle with multisystem manifestations. Myotonia may affect any muscle group, is elicited by several factors and drugs used in general anesthesia like hypnotics, sedatives and opioids. Although some authors recommend the use of regional anesthesia or combined anesthesia with low doses of opioids, the safest anesthetic technique still has to be established. 斯坦纳特病是多系统表现肌肉的内在障碍。Myotonia可能会影响任何肌群，引起的几个因素和药物用于全身麻醉就像催眠药、镇静药和阿片类药物。虽然一些作者建议使用区域麻醉或低剂量的阿片类药物的联合麻醉，最安全的麻醉技术仍然要建立。 We performed a continuous spinal anesthesia in a patient with Steinert's disease undergoing laparoscopic cholecystectomy using 10 mg of bupivacaine 0.5% and provided ventilatory sup‐port in the perioperative period. Continuous spinal anesthesia was safely used in Steinert's disease patients but is not described for laparoscopic cholecystectomy. We reported a continuous spinal anesthesia as an appropriate technique for laparoscopic cholecystectomy and particularly valuable in Steinert's disease patients. 我们在一个斯坦纳特病患者腹腔镜胆囊切除术采用0.5%布比卡因10 mg和围手术期的通气支持的患者提供‐端口进行连续腰麻。连续腰麻在斯坦纳特病患者的安全使用，但不用于腹腔镜胆囊切除术。我们报道了一个连续腰麻用于腹腔镜胆囊切除术的适宜技术和斯坦纳特病患者尤其是有价值的。 Keywords 关键词 Continuous spinal anesthesia; Steinert's disease; Laparoscopic cholecystectomy 原文： |
