四肢瘫痪合并自主神经反射亢进患者剖宫产的硬膜外麻醉
Epidural anaesthesia for caesarean section in a patient with quadriplegia and autonomic hyperreflexia.
作者信息
Burns R, Clark V A
机构信息
Department of Anaesthesia, Critical Care and Pain Medicine, Royal Infirmary of Edinburgh, Edinburgh, UK.
出版信息
Int J Obstet Anesth. 2004 Apr;13(2):120-3. doi: 10.1016/j.ijoa.2003.12.003.
The anaesthetic management of a pregnant quadriplegic woman with a history of autonomic hyperreflexia is discussed. Autonomic hyperreflexia is a life-threatening complication of high spinal cord transection, for which labour is a well known stimulus. It can lead to uncontrolled hypertension. We discuss the anaesthetic considerations in planning the care of this patient, who was managed for elective caesarean section and post partum hypertension with epidural anaesthesia.
本文讨论了一名患有自主神经反射亢进病史的怀孕四肢瘫痪女性的麻醉管理。自主神经反射亢进是高位脊髓横断的一种危及生命的并发症，分娩是其已知的诱发因素。它可导致无法控制的高血压。我们讨论了在为该患者制定护理计划时的麻醉注意事项，该患者接受了择期剖宫产，并在产后使用硬膜外麻醉治疗高血压。
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