干燥综合征患者的麻醉管理  

The anesthesia management of patients with sjogren＇s syndrome

作　　者：徐晓梅[1,2] 贾梦醒[2] 孟雪[1] 

机构地区：[1]徐州医学院江苏省麻醉学重点实验室&江苏省麻醉与镇痛应用技术重点实验室,221002 [2]徐州医学院附属医院麻醉科

出　　处：《国际麻醉学与复苏杂志》2013年第7期664-666,共3页International Journal of Anesthesiology and Resuscitation

摘　　要：干燥综合（sjfigren’s syndrome，ss）是一种淋巴细胞侵犯外分泌腺体，特别是泪腺、唾液腺为主的慢性自身免疫性疾病。患者全身状况一般较差，病情复杂。对于1例53岁女性干燥综合征15年患者，拟行左股骨粗隆间骨折复位内固定术。作者在充分熟悉ss的病理生理及缓解症状的药物基础上，术前重视补钾改善全身状况，插管时避免损伤气管、支气管黏膜，术中及时监测血气及电解质，术中及术后应用氢化可的松预防皮质醇危象，保证了患者安全度过围手术期。Sjogren＇s syndrome （SS） is a systemic autoimmune disease in which lymphatic cells destroy the exocrine glands, especially the salivary and lacrimal glands.The patient＇s physical condition is generally poor and this disease is very complicated.A 53-year-old woman with sjogren＇s syndrome received internal fixation to left femoral intertrochanteric fracture.We emphasized potassium supplement properative to improve the general situation ,avoided the factors which would injury the mucosa of tracheal and bronchial during intubation, introperative and postoperative monitored blood gas and electyolyte timely and applicated hydrocortisone to prevent cortisol crisis. All these measures helped the patient get over the operation successfully.

关 键 词：干燥综合征 麻醉管理 

分 类 号：R614[医药卫生—麻醉学]