Ou Ching-Huei, Tsou Mei-Yung, Ting Chien-Kun, Chiou Chiuan-Shiou, Chan Kwok-Hon, Tsai Shen-Kou
Department of Anesthesiology, Taipei Veterans General Hospital and School of Medicine, National Yang-Ming University, Taipei, Taiwan, ROC.
Acta Anaesthesiol Taiwan. 2004 Sep;42(3):175-8.
We report a 35-year-old parturient with gestational diabetes mellitus (GDM) history who sustained a nearly fatal Bezold-Jarisch reflex during Cesarean section under spinal anesthesia. A high spinal block combined with acute massive hemorrhage may produce life-threatening Bezold-Jarisch reflex which should be treated prophylactically and aggressively during surgery. Additionally, the autonomic disturbance associated with GDM might exaggerate the reflex in this episode. The patient survived after successful resuscitation and was discharged without any sequela.
我们报告了一位有妊娠期糖尿病（GDM）病史的35岁产妇，她在脊髓麻醉下剖宫产期间发生了近乎致命的贝佐尔德-雅里什反射。高位脊髓阻滞合并急性大量出血可能会引发危及生命的贝佐尔德-雅里什反射，手术期间应进行预防性和积极治疗。此外，与GDM相关的自主神经紊乱可能会在这一过程中加重该反射。患者经成功复苏后存活，出院时无任何后遗症。
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