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皮肌炎患者麻醉管理要点

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皮肌炎是一种自身免疫性系统性炎性病变,特征性皮肤损害和对称性四肢近端肌无力是其典型的临床表现,间质性肺炎、缺血性心肌病和恶性肿瘤是皮肌炎患者死亡的重要原因.皮肌炎与恶性肿瘤密切相关,手术切除肿瘤后皮肌炎症状或可缓解.皮肌炎患者围术期发生反流误吸、困难气道、肺炎、呼吸衰竭、缺血性心肌病、心脏停搏、肌松恢复延迟的风险增加,这些问题需要引起临床麻醉科医师的高度重视.
Key points of anesthesia management for patients with dermatomyositis
Dermatomyositis is one type of idiopathic autoimmnue myositis.Characteristic skin dam-age and symmetrical proximal limb muscle weakness are typical clinical manifestations.Furthermore,inter-stitial pneumonia,ischemic cardiomyopathy,and malignant tumors are important causes of death for patients with dermatomyositis.Dermatomyositis has been significantly associated with malignancy and surgical resec-tion of neoplasm could alleviate dermatomyositis.Dermatomyositis are associated with increased risks of aspi-ration,difficult airway,pneumonia,cardiovascular events,delayed recovery of muscle relaxation.These is-sues need to be highly valued by clinical anesthesiologists.

DermatomyositisIdiopathic inflammatory myopathyAnesthesia managementPerio-perative safety

袁玉静、李歆跃、崔凌利、薛富善

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100050 首都医科大学附属北京友谊医院麻醉手术中心

皮肌炎 特发性炎性肌病 麻醉管理 围术期安全

2024

临床麻醉学杂志
中华医学会南京分会

临床麻醉学杂志

CSTPCD北大核心
影响因子:2.225
ISSN:1004-5805
年,卷(期):2024.40(12)