国际医药卫生导报2018，Vol.24Issue(4)：550-553,4.DOI:10.3760/cma.j.issn.1007-1245.2018.04.029
Ⅰ型糖原累积病围麻醉期处理1例并文献复习
Peri-anaesthesia management of one case of type Ⅰ glycogen storage disease and literature review
刘曼曼 1胡宏强 1蔡铁良1
作者信息
- 1. 361000厦门,中国人民解放军第一七四医院厦门大学附属成功医院麻醉科
- 折叠
摘要
Abstract
Objective To investigate the treatment and effect of type Ⅰ glycogen storage disease during peri-anaesthesia period.Methods One case of type Ⅰ glycogen storage disease was retrospectively analyzed and underwent laparotomy,left liver resection,right hepatic tumor ablation treatment,anesthesia.The literatures were reviewed.According to the pathophysiological changes of type Ⅰ glycogen storage disease,preoperative anesthesia assessment,intraoperative anesthesia,and postoperative pain treatment were analyzed and discussed.Results The patient was successfully performed laparotomy and liver tumor resection and radiofrequency ablation of liver tumors under total intravenous anesthesia.Preoperative anesthesia assessment indicated that medical nutrition intervention,taking corn starch to keep blood sugar stable,liver protective treatment,and controling infection before the operation,maintaining internal environment and circulation stable blood according to gas monitoring during the operation,and taking analgesic drugs after the operation,should be taken.The patient's vital signs were relatively stable.No anesthesia complications were found by postoperative follow-up.The patients was discharged 15 days after hospitalization.Conclusion Perioperative glycemic control,control of lactic acidosis,and protection of liver function in patients with type Ⅰ glycogen storage disease are conducive to maintaining stable perioperative and clinical outcomes.关键词
糖原累积病/围麻醉期/肝肿瘤/高乳酸血症Key words
Glycogen storage disease/Peri-anesthesia period/Liver neoplasms/Lactic acidosis引用本文复制引用
刘曼曼,胡宏强,蔡铁良..Ⅰ型糖原累积病围麻醉期处理1例并文献复习[J].国际医药卫生导报,2018,24(4):550-553,4.
