【摘要】目的：提高麻醉医师对线粒体脑肌病的认识，为该病的麻醉方法提供参考。方法：回顾性分析1例线粒体脑肌病合并胸椎压缩性骨折患者的临床资料，该例患者行静脉全身麻醉，麻醉诱导药物为咪达唑仑、依托咪酯、舒芬太尼等，麻醉维持药物为丙泊酚、瑞芬太尼、利多卡因。结果：该例患者术中血气指标及生命指标均较稳定，手术时间为110min，麻醉时间155min。苏醒评分5分，术后第2d拔除气管导管，生命体征基本维持术前水平。结论：全凭静脉麻醉用于线粒体脑肌病合并胸椎压缩性骨折的效果基本满意，应该注意麻醉药物的选择，同时密切监测神经肌肉组织。

    【关键词】线粒体脑肌病;胸椎压缩性骨折;全凭静脉麻醉

    [中图分类号]R746 [文献标识码]A [文章编号]2096-5249(2020)16-0-02

    [Abstract] Objective： To improve the understanding of anesthesiologists on mitochondrial encephalomyopathy and to provide a reference for anesthesia methods for the disease. Methods： The clinical data of a patient with mitochondrial encephalomyopathy and thoracic vertebral compression fracture were retrospectively analyzed. The patient underwent intravenous general anesthesia. The induction drugs were midazolam ......