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  1. 松本歯学 : Print edition: ISSN 0385-1613 Online edition: ISSN 2188-7233
  2. 46巻(2020)
  3. 1号(2020.6)

General anesthetic management of six cases with progressive muscular dystrophy for dental treatment

https://mdu.repo.nii.ac.jp/records/2923
https://mdu.repo.nii.ac.jp/records/2923
8d09eeb7-7f71-4d13-b14c-0cf0bb429cb5
名前 / ファイル ライセンス アクション
matsumoto_shigaku46-1-02.pdf 本文 (783.5 kB)
Item type 学術雑誌論文 / Journal Article(1)
公開日 2020-07-22
タイトル
言語 en
タイトル General anesthetic management of six cases with progressive muscular dystrophy for dental treatment
言語
言語 eng
キーワード
言語 en
主題Scheme Other
主題 Progressive muscular dystrophy(PMD)
キーワード
言語 en
主題Scheme Other
主題 general anesthesia
キーワード
言語 en
主題Scheme Other
主題 dental treatment
資源タイプ
資源タイプ識別子 http://purl.org/coar/resource_type/c_6501
資源タイプ journal article
その他(別言語等)のタイトル
その他のタイトル 進行性筋ジストロフィー患者6症例の歯科治療のための全身麻酔管理
著者 小川, さおり

× 小川, さおり

WEKO 5176

小川, さおり

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谷山, 貴一

× 谷山, 貴一

WEKO 5177

谷山, 貴一

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上田, 敬介

× 上田, 敬介

WEKO 5178

上田, 敬介

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澁谷, 徹

× 澁谷, 徹

WEKO 5179

澁谷, 徹

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著者別名 OGAWA, SAORI

× OGAWA, SAORI

WEKO 5180

OGAWA, SAORI

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TANIYAMA, KIICHI

× TANIYAMA, KIICHI

WEKO 5181

TANIYAMA, KIICHI

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UEDA, KEISUKE

× UEDA, KEISUKE

WEKO 5182

UEDA, KEISUKE

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SHIBUTANI, TOHRU

× SHIBUTANI, TOHRU

WEKO 5183

SHIBUTANI, TOHRU

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抄録
内容記述タイプ Abstract
内容記述 Progressive muscular dystrophy (PMD) is a hereditary disease showing degeneration and necrosis of muscle fiber and progressive muscle weakness. PMD includes Duchenne and Becker types, in addition to limb–girdle and Fukuyama types. We report six cases of PMD (two cases of Duchenne type and four cases of Fukuyama type) treated since 2000 to 2019, in which general anesthesia was performed for intensive dental treatment.The serum level of creatine phosphokinase (CPK) was remarkably higher than normal level in every patients. No remarkable findings in chest x–ray and ECG were pointed.For patients with Duchenne type PMD,anesthesia was induced with propofol and nondepolarizing muscle relaxants,and maintained with nitrous oxide and propofol.For patients with Fukuyama type PMD, anesthesia was induced with sevoflurane in every patients and no muscle relaxant was used. Anesthesia was maintained with nitrous oxide in combination with sevoflurane in three cases, and it was maintained with nitrous oxide and propofol in another case.No remarkable cardiovascular and respiratory dysfunctions were pointed in every patients.The problems for the management of general anesthesia in patients with PMD are(1)circulatory failure due to myocardial damage,(2)respiratory failure due to respiratory dysfunction,(3)induction of malignant hyperthermia due to agents for general anesthesia, and(4) increased sensitivity and prolonged effects of muscle relaxants. In patients with Duchenne type PMD,volatile inhalation anesthetics were not used,which considered to be a risk factor for malignant hyperthermia.On the other hand, in patients with Fukuyama type PMD,we used sevoflurane since the incidence of malignant hyperthermia by volatile inhalation anesthetic will be low.
書誌情報 松本歯学
en : Journal of the Matsumoto Dental University Society

巻 46, 号 1, p. 16-22, 発行日 2020-07-22
出版者
出版者 松本歯科大学学会
ISSN
収録物識別子タイプ ISSN
収録物識別子 2188-7233
書誌レコードID
収録物識別子タイプ NCID
収録物識別子 AA12684554
フォーマット
内容記述タイプ Other
内容記述 application/pdf
著者版フラグ
出版タイプ VoR
出版タイプResource http://purl.org/coar/version/c_970fb48d4fbd8a85
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