title: [Two cases of diffuse pulmonary lymphangiomyomatosis].
abstract: We cared 2 patients with diffuse pulmonary lymphangiomyomatosis (LAM) through the perioperative period. LAM is a disease of uncertain origin and poor prognosis because of respiratory failure. Therefore, it is important to provide not only a good anesthetic care but also a good preoperative respiratory care. In the first case (a 35-yr-old woman), an open lung biopsy was performed after dyspnea and sputum had disappeared with preoperative medications of a bronchodilator and some antibiotics. In the second case (a 35-yr-old woman), oophorectomy was performed after FEV1.0% had remarkably increased with preoperative medication of a bronchodilator. Both patients did well through the perioperative period without any trouble or complications, such as pneumonia or severe hypoxemia, presumably owing to our perioperative management system.
authors.affiliation: Department of Anesthesiology, Sapporo Medical College.
authors.forename: M
authors.initials: M
authors.lastname: Yamakage
authors.forename: T
authors.initials: T
authors.lastname: Kawamata
authors.forename: H
authors.initials: H
authors.lastname: Iwasaki
authors.forename: Y
authors.initials: Y
authors.lastname: Yamasawa
authors.forename: N
authors.initials: N
authors.lastname: Kokita
authors.forename: S
authors.initials: S
authors.lastname: Kohro
authors.forename: A
authors.initials: A
authors.lastname: Namiki
mesh_terms: D000328:Adult; D000768:Anesthesia, General; D000900:Anti-Bacterial Agents / Q000008:administration & dosage; D001706:Biopsy; D001993:Bronchodilator Agents / Q000008:administration & dosage; D005260:Female; D006801:Humans; D008175:Lung Neoplasms / Q000601:surgery*; D008203:Lymphangiomyoma / Q000601:surgery*; D010052:Ovariectomy; D011292:Premedication; D011300:Preoperative Care
chemical_list: D000900:Anti-Bacterial Agents; D001993:Bronchodilator Agents