Ranasinghe J Sudharma, Tjin-A-Tsoi Evert W, Lewis Michael C
Department of Anesthesiology, University of Miami School of Medicine, Miami, FL 33101, USA.
J Clin Anesth. 2005 Feb;17(1):66-8. doi: 10.1016/j.jclinane.2004.03.016.
A 35-year-old, 39-week pregnant woman underwent an uneventful emergent cesarean delivery for suspected placental abruption or uterine dehiscence. Given the urgency of the situation and the unremarkable airway anatomy, general anesthesia was the chosen technique. Four hours after her surgery, she returned to the operating room for persistent vaginal bleeding. Hematology tests performed before the cesarean delivery revealed severe thrombocytopenia. This was later diagnosed as idiopathic thrombocytopenia, which was treated successfully with steroid therapy.
一名35岁、孕39周的孕妇因疑似胎盘早剥或子宫破裂接受了顺利的急诊剖宫产。鉴于情况紧急且气道解剖结构无异常,选择了全身麻醉。术后4小时,她因持续性阴道出血返回手术室。剖宫产术前进行的血液学检查显示严重血小板减少。后来诊断为特发性血小板减少症,经类固醇治疗成功治愈。