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首页> 外文期刊>The Internet Journal of Anesthesiology >Anaesthesia management of a known case of Progeria for Functional Endoscopic Sinus Surgery
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Anaesthesia management of a known case of Progeria for Functional Endoscopic Sinus Surgery

机译：功能性内窥镜鼻窦手术的早衰的已知病例的麻醉管理

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Progeria or premature ageing is a very rare congenital abnormality in children. It is a challenge for an anesthesiologist due to the difficult airway and ischemic heart disease. Here we report the successful anaesthesia management using general anaesthesia of a known case of progeria. The patient underwent Functional Endoscopic Sinus Surgery (FESS). Intubation was uneventful and perioperative vitals remained stable. Postoperative observation was uneventful. Introduction The incidence of progeria is reported to be 1 in 4 million to 1 in 8 million1. Patients have characteristic features like scanty hair and teeth, wrinkled skin, early atherosclerosis of blood vessels and joint deformities. Prognosis is poor with survival beyond second decade very rare2. The management of a case of progeria is always a challenge to the anesthesiologist as it is complicated by difficult airway. Several cases of repeatedly failed intubations even with fiber optic bronchoscope have been reported 6,7,8. These patients have ischemic heart disease, which is reported to be the most common cause of death in these patients2. We report a case of successful airway and intraoperative anaesthetic management of a case of progeria using general anaesthesia.
机译：早衰或早衰是儿童罕见的先天性异常。由于困难的气道和局部缺血性心脏病，这对麻醉医师是一个挑战。在这里，我们报告使用已知的早衰病例的全身麻醉进行成功的麻醉管理。患者接受了功能性内窥镜鼻窦手术（FESS）。插管通畅，围手术期生命体征保持稳定。术后观察无异常。简介据报道，早衰的发生率是四百万分之一至八百万分之一。患者具有一些特征，如头发和牙齿稀少，皮肤起皱，血管早期动脉粥样硬化和关节畸形。预后较差，超过第二个十年的存活率非常罕见2。由于呼吸道困难，使早衰病例的治疗始终是麻醉医师的挑战。据报道，即使使用纤维支气管镜也多次插管失败的案例6,7,8。这些患者患有缺血性心脏病，据报道是这些患者最常见的死亡原因2。我们报告一例成功的气道和术前使用全身麻醉的麻醉治疗的病例。

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