Bartter症候群患者における口腔外科手術の周術期管理を行った1例

DOI
  • 鏑木 正秋
    明海大学歯学部病態診断治療学講座口腔顎顔面外科学第2分野
  • 重松 久夫
    明海大学歯学部病態診断治療学講座口腔顎顔面外科学第2分野
  • 馬越 誠之
    明海大学歯学部病態診断治療学講座口腔顎顔面外科学第2分野
  • 渡邊 容子
    明海大学歯学部病態診断治療学講座口腔顎顔面外科学第2分野
  • 長谷川 彰彦
    明海大学歯学部総合臨床医学講座内科学
  • 坂下 英明
    明海大学歯学部病態診断治療学講座口腔顎顔面外科学第2分野

書誌事項

タイトル別名
  • Perioperative management of a patient with Bartter's syndrome: A case report

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抄録

  A 16-year-old girl with Bartter's syndrome was referred to our department because of malocclusion in May 2005. A clinical diagnosis of mandibular protrusion with a long face was made. After orthodontic treatment, including extraction of 4 wisdom teeth and 2 fourth molar teeth, she received orthognathic surgery by Le Fort Ⅰ osteotomy and sagittal split ramus osteotomy under general anesthesia (NLA) in December 2007. L-aspartate potassium was administered intravenously in a dose of 10 mEq/h during the operation. Postoperatively, electrolyte imbalance was corrected by administration of potassium and a prostaglandin synthesis inhibitor (indomethacin). Nausea was controlled by treatment with metaclopramide (Primperan®) and an H2-blocker (Gaster®). Inter-maxillary fixation was not performed after the operation to prevent aspiration pneumonia due to vomiting. Because of these precautions, the postoperative course was uneventful.

収録刊行物

  • 小児口腔外科

    小児口腔外科 20 (1), 58-64, 2010

    日本小児口腔外科学会

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