An Anesthetic Report of a Patient with Pulmonary Alveolar Microlithiasis.
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概要
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Pulmonary alveolar microlithiasis (PAM) is a rare disease characterized by small calcific concretions in the alveoli. A 51-year-old woman, admitted for the surgical removal of a breast mass, who found to have fine mottling in both lung fields in the routine preope check up. She exhibited high RV/TLC (39%), %VC of 77%, slight obstructive and restrictive disorder. DLCO was reduced slightly. Anesthesia was induced with fentanyl, droperidol, thiamylal and succynylcholine, and maintained with GOEPancuronium. Changes of airway pressure was watched closely, especially for overpressure due to bucking. Arterial Po2 averaged 166.4mmHg and PCO2 29.1mmHg (FiO2=0.4). Recovery from anesthesia was uneventful. No complication was observed during and after operation.
- 日本臨床麻酔学会の論文
日本臨床麻酔学会 | 論文
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