Minai Hiroko, Yamada Keisuke, Tashiro Katsumi, Yamamoto Ken
Department of Anesthesiology and Intensive Care Medicine, Graduate School of Medical Science, Kanazawa University, Kanazawa 920-8641.
Masui. 2005 Nov;54(11):1313-4.
A 26-year-old woman with heterotopic pregnancy in the 8th week of gestation was scheduled for surgery for ectopic pregnancy. To reduce the effect on the intrauterine pregnancy, awake laparoscopic surgery was performed under spinal anesthesia with pneumoperitoneum pressure of 6 mmHg. Bilateral shoulder pain occurred when pneumoperitoneum pressure was increased to 8 mmHg. The pain disappeared after the pneumoperitoneum pressure was decreased to 6 mmHg. Attention should be paid to shoulder pain due to physical and chemical stimulation of the diaphragm by pneumoperitoneum. Postoperative pregnancy and delivery were uneventful.
一名妊娠8周的26岁异位妊娠女性计划接受异位妊娠手术。为减少对宫内妊娠的影响，在脊髓麻醉下进行清醒腹腔镜手术，气腹压力为6 mmHg。当气腹压力增加到8 mmHg时出现双侧肩部疼痛。气腹压力降至6 mmHg后疼痛消失。应注意气腹对膈肌的物理和化学刺激引起的肩部疼痛。术后妊娠和分娩过程顺利。
