Morrison G A, Lang C, Huda S
Anaesthetics, Royal Infirmary of Edinburgh, Edinburgh, UK.
Anaesthesia. 2006 Jan;61(1):57-60. doi: 10.1111/j.1365-2044.2005.04434.x.
A case of botulism is reported in a heroin-abusing parturient who initially presented with lethargy and slurred speech. The diagnostic difficulty, complications, intensive care and anaesthetic management of this case are discussed, with particular reference to the pregnancy and the effects of both botulism and its empirical treatment on the fetus. A short review is provided of a condition that has seen a marked increase in its incidence since 2000.
报告了一例肉毒中毒病例，患者为一名滥用海洛因的产妇，最初表现为嗜睡和言语不清。本文讨论了该病例的诊断难点、并发症、重症监护及麻醉处理，特别提及了妊娠以及肉毒中毒及其经验性治疗对胎儿的影响。本文还对自2000年以来发病率显著上升的一种疾病进行了简要综述。
