[Two cases of diffuse pulmonary lymphangiomyomatosis].
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.
Yamakage
M
M
Department of Anesthesiology, Sapporo Medical College.
Kawamata
T
T
Iwasaki
H
H
Yamasawa
Y
Y
Kokita
N
N
Kohro
S
S
Namiki
A
A
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
D000900:Anti-Bacterial Agents; D001993:Bronchodilator Agents