Olufolabi A J, Charlton G A, Allen S A, Mettam I M, Roberts P R
Department of Anesthesiology, Duke University Medical Center, Durham, NC 27710, USA.
Br J Anaesth. 2002 Oct;89(4):652-5. doi: 10.1093/bja/aef230.
We describe a case of a 36-yr-old patient who presented at 14 weeks gestation with multifocal dysrrhythmic episodes. Despite treatment with anti-arrythmic agents and an implantable cardioverter defibrillator (ICD) in situ, she continued to experience persistent dysrrhythmic episodes. She was delivered by Caesarean section at 34 weeks under general anaesthesia. We discuss some of the anaesthetic challenges of parturients with ICD devices.
我们描述了一例36岁的患者,她在妊娠14周时出现多灶性心律失常发作。尽管使用了抗心律失常药物并植入了植入式心脏复律除颤器(ICD),但她仍持续出现心律失常发作。她在34周时在全身麻醉下接受了剖宫产。我们讨论了患有ICD装置的产妇的一些麻醉挑战。