切换至 "中华医学电子期刊资源库"

中华肥胖与代谢病电子杂志 ›› 2020, Vol. 06 ›› Issue (04) : 276 -280. doi: 10.3877/cma.j.issn.2095-9605.2020.04.016

所属专题: 经典病例 文献

病例报告

合并OSAHS、重度PH的病态肥胖Prader-Willi综合征患儿腹腔镜减重手术麻醉管理1例
陈逸斐1, 何安东1, 李雅兰2,()   
  1. 1. 510632 广州,暨南大学第一临床医学院
    2. 510630 广州,暨南大学附属第一医院麻醉科
  • 收稿日期:2020-11-02 出版日期:2020-11-30
  • 通信作者: 李雅兰

Anesthesia management for morbidly-obese children with Prader-Willi syndrome complicated with OSAHS and severe PH during laparoscopic bariatric surgery: one case of report

Yifei Chen1, Andong He1, Yalan Li2()   

  • Received:2020-11-02 Published:2020-11-30
  • Corresponding author: Yalan Li
引用本文:

陈逸斐, 何安东, 李雅兰. 合并OSAHS、重度PH的病态肥胖Prader-Willi综合征患儿腹腔镜减重手术麻醉管理1例[J]. 中华肥胖与代谢病电子杂志, 2020, 06(04): 276-280.

Yifei Chen, Andong He, Yalan Li. Anesthesia management for morbidly-obese children with Prader-Willi syndrome complicated with OSAHS and severe PH during laparoscopic bariatric surgery: one case of report[J]. Chinese Journal of Obesity and Metabolic Diseases(Electronic Edition), 2020, 06(04): 276-280.

[1]
Cassidy S, Schwartz S, Miller J, et al. Prader-Willi syndrome [J]. Genet Med, 2012, 14(1): 10-26.
[2]
Angulo MA, Butler MG, Cataletto ME. Prader-Willi syndrome: a review of clinical, genetic, and endocrine findings [J]. J Endocrinol Invest, 2015, 38(12): 1249-1263.
[3]
Irizarry KA, Miller M, Freemark M, et al. Prader Willi Syndrome: Genetics, Metabolomics, Hormonal Function, and New Approaches to Therapy [J]. Adv Pediatr, 2016, 63(1): 47-77.
[4]
McAllister CJ, Whittington JE, Holland AJ. Development of the eating behaviour in Prader-Willi Syndrome: advances in our understanding [J]. Int J Obes (Lond), 2011, 35(2): 188-197.
[5]
Butler MG, Manzardo AM, Heinemann J, et al. Causes of death in Prader-Willi syndrome: Prader-Willi Syndrome Association (USA) 40-year mortality survey [J]. Genetics in medicine: official journal of the American College of Medical Genetics, 2017, 19(6): 635-642.
[6]
Pacoricona Alfaro DL, Lemoine P, Ehlinger V, et al. Causes of death in Prader-Willi syndrome: lessons from 11 years' experience of a national reference center [J]. Orphanet J Rare Dis, 2019, 14(1): 238.
[7]
中华医学会儿科学分会内分泌遗传代谢学组, 《中华儿科杂志》编辑委员会. 中国Prader-Willi综合征诊治专家共识(2015) [J]. 中华儿科杂志, 2015, 53(6): 419-424.
[8]
Aravindan A, Singh AK, Kurup M, et al. Anaesthetic management of paediatric patient with Prader-Willi syndrome for bariatric surgery [J]. Indian journal of anaesthesia, 2020, 64(5): 444-445.
[9]
Kanawati S, Rajab O, Sinno L, et al. Anesthetic management for laparoscopic sleeve gastrectomy to a child [J]. J Clin Anesth, 2018, 44(01): 89-90.
[10]
中国医师协会外科医师分会肥胖和糖尿病外科医师委员会. 中国儿童和青少年肥胖症外科治疗指南(2019版) [J]. 中华肥胖与代谢病电子杂志, 2019, 5 (1): 3-9.
[11]
Lu A, Luo F, Sun C, et al. Sleep-disordered breathing and genetic findings in children with Prader-Willi syndrome in China [J]. Ann Transl Med, 2020, 8(16): 989.
[12]
Cadi P, Guenoun T, Journois D, et al. Pressure-controlled ventilation improves oxygenation during laparoscopic obesity surgery compared with volume-controlled ventilation [J]. British journal of anaesthesia, 2008, 100(5): 709-716.
[13]
Serpa Neto A, Hemmes SNT, Barbas CSV, et al. Protective versus Conventional Ventilation for Surgery: A Systematic Review and Individual Patient Data Meta-analysis [J]. Anesthesiology, 2015, 123(1): 66-78.
[14]
Bluth T, Serpa Neto A, Schultz MJ, et al. Effect of Intraoperative High Positive End-Expiratory Pressure (PEEP) With Recruitment Maneuvers vs Low PEEP on Postoperative Pulmonary Complications in Obese Patients: A Randomized Clinical Trial [J]. Jama, 2019, 321(23): 2292-2305.
[15]
Falcão L, Pelosi P, de Abreu MG. Protective mechanical ventilation in the obese patient [J]. International anesthesiology clinics, 2020, 58(3): 53-57.
[16]
Tseng CH, Chen C, Wong CH, et al. Anesthesia for pediatric patients with Prader-Willi syndrome: report of two cases [J]. Chang Gung medical journal, 2003, 26(6): 453-457.
[17]
Almeneessier AS, Nashwan SZ, Al-Shamiri MQ, et al. The prevalence of pulmonary hypertension in patients with obesity hypoventilation syndrome: a prospective observational study [J]. J Thorac Dis, 2017, 9(3): 779-788.
[18]
中华医学会心血管病学分会肺血管病学组, 中华心血管病杂志编辑委员会. 中国肺高血压诊断和治疗指南2018 [J]. 中华心血管病杂志, 2018, 46(12): 933-964.
[19]
詹莉, 李琪英. 肺动脉高压患者行非心脏手术的麻醉管理研究进展 [J]. 国际麻醉学与复苏杂志, 2018, 39(02): 156-160.
[20]
Qin G, Luo H, Yin X, et al. Effects of Sevoflurane on Hemodynamics and Inducible Nitric Oxide Synthase/Soluble Guanylate Cyclase Signaling Pathway in a Rat Model of Pulmonary Arterial Hypertension [J]. Anesth Analg, 2017, 125(1): 184-189.
[21]
张宝岭, 景亮. 肺动脉高压患者的麻醉 // 江苏省医学会, 2012中国长江医学论坛——麻醉学与医学发展暨江苏省第十七次麻醉学学术会议、2012年全国小儿麻醉学术年会论文汇编[C]. 江苏省医学会: 温州医科大学附属第二医院,育英儿童医院麻醉学科, 2012: 4.
[22]
Kim HJ, Shin WJ, Park S, et al. The sedative effects of the intranasal administration of dexmedetomidine in children undergoing surgeries compared to other sedation methods: A systematic review and meta-analysis [J]. J Clin Anesth, 2017, 38(01): 33-39.
[1] 赵帅, 王伟, 李瑞奇, 周家杰, 王道荣. 3D腹腔镜下袖状胃切除术治疗肥胖合并2型糖尿病的临床疗效及影响因素分析[J]. 中华普外科手术学杂志(电子版), 2024, 18(02): 146-149.
[2] 纪凯伦, 郝少龙, 孙海涛, 韩威. 减重术后胆囊结石形成机制的新进展[J]. 中华普外科手术学杂志(电子版), 2024, 18(01): 100-103.
[3] 张良燕, 曹桢, 刘子嘉. 成人腹股沟疝日间手术麻醉管理[J]. 中华疝和腹壁外科杂志(电子版), 2024, 18(01): 25-29.
[4] 罗霞, 王宝梅, 李淑景, 杨英. 特发性肺动脉高压血清PCSK9表达及预后意义[J]. 中华肺部疾病杂志(电子版), 2024, 17(04): 585-589.
[5] 朱佑君, 付万垒, 毛杨, 李德峰. 细胞外基质相关标志物与成纤维细胞在肺动脉高压发展中的意义[J]. 中华肺部疾病杂志(电子版), 2024, 17(03): 356-362.
[6] 张艺萱, 罗金丹, 葛小丽, 钟红琴. 先天性心脏病伴PH血清H-FABP、NT-proBNP与肺动脉内径、血流速度及PASP的关系[J]. 中华肺部疾病杂志(电子版), 2024, 17(02): 252-255.
[7] 陈晓毅, 尹雪霞, 刘静, 邬国松. 阻塞性睡眠呼吸暂停低通气综合征并发肺动脉高压的危险因素及预测分析[J]. 中华肺部疾病杂志(电子版), 2024, 17(01): 41-45.
[8] 吴欣, 袁晓晨, 沈慧, 秦建华. 三尖瓣反流速度评估肺动脉高压患者心脏结构改变的研究[J]. 中华临床医师杂志(电子版), 2024, 18(03): 259-267.
[9] 孟丽君, 宋芹, 邵莉, 李健. 系统性红斑狼疮合并肺动脉高压患者外周血T淋巴细胞亚群水平变化及临床意义[J]. 中华诊断学电子杂志, 2024, 12(01): 38-43.
[10] 王靖玺, 赵丽, 吕滨. 人工智能在肺栓塞CT检查中的临床研究进展[J]. 中华心脏与心律电子杂志, 2024, 12(01): 26-31.
[11] 中国医师协会外科医师分会肥胖和代谢病外科专家工作组, 中国医师协会外科医师分会肥胖代谢外科综合管理专家工作组, 中国肥胖代谢外科研究协作组. 中国肥胖代谢外科数据库:2023年度报告[J]. 中华肥胖与代谢病电子杂志, 2024, 10(02): 73-83.
[12] 中国医师协会外科医师分会肥胖和糖尿病外科专家工作组. 减重手术相关贫血管理策略中国专家共识(2024版)[J]. 中华肥胖与代谢病电子杂志, 2024, 10(01): 1-8.
[13] 赵稳, 刘浩, 李丁昌, 高文星, 刘先强, 武现生, 董光龙. 重视SADI-S手术全流程质量控制[J]. 中华肥胖与代谢病电子杂志, 2024, 10(01): 15-20.
[14] 詹崇文, 沈奇伟, 姚琪远. 肥胖及减重手术与下肢骨关节炎的研究进展[J]. 中华肥胖与代谢病电子杂志, 2024, 10(01): 21-26.
[15] 周泽恺, 刘宝胤, 聂云韬, 孟化. 肥胖对肺功能影响的研究进展[J]. 中华肥胖与代谢病电子杂志, 2024, 10(01): 58-65.
阅读次数
全文


摘要