一名先天性甲状腺功能减退症患儿被送往医院接受急诊手术--麻醉挑战

Anju Paul, Amit Hiwarkar, Madhuri Patil, Kshitija Dipak Tonapi
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引用次数: 0

摘要

儿科病例给麻醉带来了相当大的挑战,如果儿科病例被派去进行急诊手术并伴有先天性甲状腺功能减退症等相关并发症,则会更具挑战性。有关先天性甲状腺功能减退症病例麻醉管理的文献报道很少。由于气道困难、伴有先天性畸形以及对麻醉药物的敏感性增加,麻醉管理面临挑战。先天性甲状腺功能减退症儿童急诊手术麻醉管理的成功离不开病理生理学知识、术前优化、麻醉技术的正确选择和规划。儿童先天性甲状腺功能减退症会改变生理机能、气道解剖结构,造成气道和药物代谢困难,因此给麻醉医生带来了巨大挑战。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
A child with congenital hypothyroidism posted for emergency surgery- anaesthesia challenges
Paediatric cases pose considerable anaesthetic challenges and are more challenging if they are posted for emergency surgeries with associated comorbidities like congenital hypothyroidism. Few reported cases of anaesthesia management of congenital hypothyroid cases are there in the literature. Challenges are due to the difficult airway, associated congenital anomalies and increased sensitivity to anaesthetic drugs. Knowledge of pathophysiology, preoperative optimization and proper selection and planning of anaesthesia techniques are essential for successful anaesthesia management of children with congenital hypothyroidism for emergency surgeries. Congenital hypothyroidism in a child poses significant challenges for anaesthesiologists because of altered physiology, airway anatomy and difficult airway and drug metabolism.
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