ANESTHETIC PROBLEMS IN MYOTONIC-DYSTROPHY - A CASE-REPORT AND REVIEW OF THE ABERDEEN EXPERIENCE COMPRISING 48 GENERAL-ANESTHETICS IN A FURTHER 16 PATIENTS
ANESTHETIC PROBLEMS IN MYOTONIC-DYSTROPHY - A CASE-REPORT AND REVIEW OF THE ABERDEEN EXPERIENCE COMPRISING 48 GENERAL-ANESTHETICS IN A FURTHER 16 PATIENTS
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DOI：
10.1093/bja/57.11.1119
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发表时间：
1985-01-01
影响因子：
9.8
通讯作者：
ALDRIDGE, LM
中科院分区：
文献类型：
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作者：
ALDRIDGE, LM
一个以前未确诊的情况下，强直性肌营养不良症提出与呼吸暂停2.5小时持续时间以下硫喷妥钠描述。本文回顾了香港仔地区17例强直性肌营养不良患者49例手术的麻醉效果。分析了手术类型及术中术后问题。结果显示，在先前诊断的病例中并发症发生率为52%，在未诊断的病例中并发症发生率为35%。在该系列中，29%的麻醉剂是在正式诊断前给予有症状的患者的。为了避免潜在的危险，麻醉师应该对未确诊疾病的可能性保持警惕。在初步诊断的17例患者的泌尿系统学和相关的调查结果。已对文献进行了综述，并指出了麻醉影响。
A previously undiagnosed case of myotonic dystrophy presenting with apnoea of 2.5 h duration following thiopentone is described. A review of the anaesthetic outcome from 49 operations in 17patientswith myotonic dystrophy in the Aberdeen area is presented. The type of operation and intra- and postoperative problems are analysed. The results reveal a 52 % complication rate in previously diagnosed cases and a 35% complication rate in undiagnosed cases. In the series, 29% of the anaesthetics were administered to symptomatic patients before formal diagnosis. To avoid potential hazards it behoves the anaesthetist to remain alert to the possibility of the undiagnosed disease. The symptomatology and associated findings of the 17 patients at initial diagnosis are presented. The literature has been reviewed and anaesthetic implications noted.