儿童枕骨大脊膜膨出1例的麻醉处理。

Q4 Medicine

Journal of the Indian Medical Association Pub Date : 2014-01-01

Saikat Niyogi, Pradipta Mitra, Jayanta Chakraborty, Sankari Santra, Tapobroto Mitra, Sabyasachi Nandy, Amita Acharya

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引用次数: 0

摘要

脑膜脊髓膨出是由于颅骨或脊柱先天缺陷引起的脑膜和神经细胞的突出。据报道，枕部脑膜脊膜膨出的发病率为每5000例活产儿中有1例。患有脑膜脊膜膨出的儿童可能有不同程度的感觉和运动缺陷以及其他重要的相关先天性缺陷，其临床特征为脑干压迫。髓系脑膜膨出修复的主要麻醉挑战包括难以固定气道、术中俯卧位、准确评估失血量和预防体温过低。

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Anaesthetic management of a child with large occipital meningomyelocele.

A meningomyelocele is herniation of meninges along with neural elements through a congenital defect in the cranium or vertebral column. Reported incidence of occipital meningomyelocele is 1 in 5000 live births. Children with meningomyelocele may have varying degrees of sensory and motor deficits and other important associated congenital defects with clinical features of brain stem compression. The major anaesthetic challenges associated with myelomeningocoele repair includes difficulty in securing airway, intra-operative prone positioning, accurate assessment of blood loss and prevention of hypothermia.

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来源期刊

Journal of the Indian Medical Association Medicine-Medicine (all)

CiteScore

0.10

自引率

0.00%

发文量

期刊介绍： The Journal of the Indian Medical association, popularly known as JIMA, an indexed (in index medicus) monthly journal, has the largest circulation (over 1.75 lakh Copies per month) of all the indexed and other medical journals of India and abroad. This journal is also available in microfilm through Bell & Howels, USA. The founder leaders of this prestigious journal include Late Sir Nilratan Sircar, Dr Bidhan Chandra Roy, Dr Kumud Sankar Ray and other scholars and doyens of the medical profession. It started in the pre-independence era (1930) with only 122 doctors.