双侧膈肌起搏器在慢性脊髓损伤患者围手术期的应用。临床病例)。

IF 1 4区医学 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Anales Del Sistema Sanitario De Navarra Pub Date : 2021-12-27 DOI:10.23938/ASSN.0951

E Sepúlveda Haro, J Díaz Crespo, S Romero Molina, J J Escalona Belmonte, J L Guerrero Orriach, J Cruz Mañas

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引用次数: 0

摘要

慢性脊髓损伤患者遭受许多病理生理改变，可导致围手术期重要的发病率和死亡率。横膈膜起搏器是一种为高度颈髓损伤患者提供肺通气的装置，与机械通气相比，它为患者提供了更好的生活质量。我们在此报告一位使用膈式起搏器的慢性脊髓损伤患者的临床病例，并计划经皮肾镜取石和双j型支架植入术。麻醉师应该了解这些患者的病理生理情况，以便提供安全的围手术期护理。

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[Perioperative management of the patient with chronic spinal cord injury using bilateral diaphragmatic pacemaker. Clinical case].

Patients with chronic spinal cord injury suffer from a number of pathophysiological alterations that can lead to important morbidity and mortality in the perioperative period. The diaphragmatic pacemaker is a device that enables pulmonary ventilation in patients with high cervical cord injuries and provides them with a better quality of life when compared to mechanical ventilation. We present here the clinical case of a patient with chronic spinal cord injury who used a diaphragmatic pacemaker, and who was scheduled for percutaneous nephrolithotomy and double-J stent implantation. The anesthesiologist should know the pathophysiological situation of these patients in order to provide a safe perioperatory care.

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来源期刊

Anales Del Sistema Sanitario De Navarra 医学-公共卫生、环境卫生与职业卫生

CiteScore

1.30

自引率

30.00%

发文量

审稿时长

>12 weeks

期刊介绍： La revista Anales del Sistema Sanitario de Navarra es una revista de contenido médico sanitario de carácter generalista. En ella tienen cabida artículos referidos a temas de salud/enfermedad en general, salud pública, administración y gestión sanitaria y Atención Primaria de salud.