Lao Hsuan-Chih, Hseu Shu-Shya, Huang Yu-Yin, Yu Ya-Sheng, Tsai Shen-Kou
Department of Anesthesiology, Taipei Veterans General Hospital, School of Medicine, National Yang-Ming University, Taipei, Taiwan, R.O.C.
Acta Anaesthesiol Sin. 2003 Dec;41(4):209-14.
Intracranial hemorrhage (ICH) from an arteriovenous malformation (AVM) in pregnancy is quite rare and could lead to exceedingly high maternal and fetal morbidity and mortality. We report a 26-year-old woman at 36 weeks' gestation who sustained ICH due to two huge AVMs. For preventing from progressive increased intracranial pressure (IICP), Cesarean section under general anesthesia was performed successfully. Herein, we also discuss the anesthetic management after reviewing the related current literatures.
妊娠期动静脉畸形（AVM）所致颅内出血（ICH）极为罕见，可导致极高的母婴发病率和死亡率。我们报告一名孕36周的26岁女性，因两个巨大的AVM发生了ICH。为防止颅内压（IICP）进行性升高，在全身麻醉下成功实施了剖宫产。在此，我们在回顾相关现有文献后，也讨论了麻醉管理。
