地中海性貧血 (Thalassemia) を併発したダウン症候群患者の全身麻酔経験

DOI
  • 大橋 誠
    Dental Anesthesia, The Nippon Dental University Niigata Hospital Disabled Adult's Center, The Nippon Dental University Niigata Hospital
  • 高橋 靖之
    Dental Anesthesia, The Nippon Dental University Niigata Hospital
  • 永合 徹也
    Department of Dental Anesthesiology, The Nippon Dental University, School of Life Dentistry at Niigata
  • 藤井 一維
    Department of Dental Anesthesiology, The Nippon Dental University, School of Life Dentistry at Niigata
  • 佐野 公人
    Dental Anesthesia, The Nippon Dental University Niigata Hospital
  • 柬理 十三雄
    Department of Dental Anesthesiology, The Nippon Dental University, School of Life Dentistry at Niigata

書誌事項

タイトル別名
  • General anesthesia for dental treatments in a Down syndrome patient with thalassemia

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抄録

Thalassemia is a congenital hemoglobin anomaly that presents as a hemolytic anemia. The incidence in Japan is rare. We selected to perform dental treatments under general anesthesia for behavioral control in a Down syndrome patient with thalassemia. The patient is 20-years-old, male, 155.0cm in height and weighing 72.5kg. He was diagnosed with Down syndrome and thalassemia immediately after birth. We confirmed hypochromic microspherocytosis during the preoperative evaluation and analyses and a decrease in the reserve force for the hypoxic state was predicted. After nasal intubation, general anesthesia was maintained with N2O+oxygen+sevoflurane. There were no complications encountered with anesthesia during and following the dental procedure. Careful preoperative evaluation and analyses, correct diagnosis and precautious anesthetic manipulations are required to administer general anesthesia in patients with Thalassemia.

収録刊行物

  • 有病者歯科医療

    有病者歯科医療 16 (3), 165-169, 2007

    一般社団法人 日本有病者歯科医療学会

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