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Total Intravenous Anesthesia for Repair of Congenital Diaphragmatic Hernia: A Case Report

全靜脈注射麻醉應用於先天性橫膈膜疝氣修補術-病例報告

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摘要


先天性橫膈膜疝氣是一種會導致嚴重心肺功能異常的先天性心肺畸型。傳統上,我們使用吸入性麻醉藥物合併人工呼吸器、鴉片類藥物以及肌肉鬆弛劑來維持手術所需要的麻醉。在這個病例上,我們使用了全靜脈注射麻醉以及高頻震盪呼吸器合併一氧化氮來維持手術所需要的麻醉。手術後,這名病人情況良好,並且於一個月後康復出院。

並列摘要


Congenital diaphragmatic hernia is a cardiopulmonary anomaly that causes severe respiratory disorder. Traditionally, inhalational anesthetics with mechanical hyperventilation, opioids, and muscle relaxants are used in anesthesia for repair surgery. In this case, we used total intravenous anesthesia combined with high-frequency oscillatory ventilation and inhaled nitric oxide for surgical repair of the diaphragm. After surgery, the patient recovered well and was discharged from hospital 1 month later.

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