Rezig K, Diar N, Benabidallah D, Khodja A, Saint-Leger S
Département d'anesthésie-réanimation, CHI André-Grégoire, 93105 Montreuil, France.
Ann Fr Anesth Reanim. 2003 Mar;22(3):238-41. doi: 10.1016/s0750-7658(03)00053-4.
Pregnancy is a rare occurrence in patient suffering from spinal cord lesion. The authors report the case of labour and delivery in a paraplegic patient who was suffering from lesion located T6 level. In early labour epidural analgesia was maintained and the vaginal delivery was successful without associated fluctuation of blood pressure or other signs of autonomic hyperreflexia. The epidural catheter was maintained for 48 h post-partum. The main risks and anaesthesic management of pregnancy in paraplegic patients are discussed.
脊髓损伤患者怀孕的情况较为罕见。作者报告了一例T6水平脊髓损伤截瘫患者的分娩病例。分娩早期维持硬膜外镇痛,阴道分娩成功,未出现血压波动或自主神经反射亢进的其他体征。产后硬膜外导管保留了48小时。文中讨论了截瘫患者怀孕的主要风险及麻醉管理。