Anesthetic experience of a patient with relapsing polychondritis - A case report
Anesthetic experience of a patient with relapsing polychondritis - A case report
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DOI：
10.4097/kjae.2012.63.5.465
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发表时间：
2012-11-01
影响因子：
2.9
通讯作者：
Shin, Yang-Sik
中科院分区：
文献类型：
--
作者：
Kim, In Ki;Kim, Min Soo;Shin, Yang-Sik
复发性多软骨炎是一种罕见的疾病，其特征是进行性炎症和软骨结构的破坏，如耳，鼻和气管喉结构。因此，气管喉受累使麻醉管理成为一项挑战。复发性多囊炎患者的麻醉管理可能会遇到严重气管狭窄引起的气道问题。我们报告一位60岁的复发性多囊炎女性，在硬膜外麻醉下接受胃楔形切除术。通过硬膜外注射7 ml 0.75%罗哌卡因和50 μ g芬太尼实现T4-10皮区的胸段硬膜外阻滞。患者在手术过程中可以耐受。我们认为，硬膜外镇痛可能是一种替代全身麻醉的复发性多囊炎患者接受上腹部手术。
Relapsing polychondritis is a rare disease characterized by progressive inflammation and destruction of cartilaginous structures such as ears, nose, and tracheolaryngeal structures. As a result, tracheolaryngeal involvement makes anesthetic management a challenge. Anesthetic management of a patient with relapsing polychondritis may encounter airway problems caused by severe tracheal stenosis. We present the case of a 60-year-old woman with relapsing polychondritis who underwent wedge resection of the stomach under epidural analgesia. Thoracic epidural blockade of the T4-10 dermatome was achieved by epidural injection of 7 ml of 0.75% ropivacaine and 50 mu g of fentanyl. The patient was tolerable during the operation. We suggest that epidural analgesia may be an alternative to general anesthesia for patients with relapsing polychondritis undergoing upper abdominal surgery.