ACTH非依赖性库欣综合征合并先天性心脏病麻醉1例
Anesthesia of ACTH-Independent Cushing’s Syndrome with Congenital Heart Disease: A Case Report
摘要: 库欣综合征是各种病因造成肾上腺分泌过多糖皮质激素所致病症的总称。合并先天性心脏病的库欣综合征患者,心肺功能差,循环波动明显,围术期管理为麻醉医生带来一定挑战。现探讨一例ACTH非依赖性库欣综合征合并先天性心脏病患者的麻醉过程及相关处理,希望为同行们对此类患者的麻醉管理提供一定帮助。
Abstract:
Cushing’s syndrome is a general term of disease caused by adrenal hyperglucocorticoid secretion due to various causes. Patients with Cushing’s syndrome with congenital heart disease have poor cardiopulmonary function and obvious circulation fluctuations, perioperative management brings challenges to anesthesiologists. This paper discusses the anesthesia process and related manage-ment of a patient with ACTH-independent Cushing’s syndrome complicated with congenital heart disease. It is hoped to provide some help for the anesthesia management of such patients.
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