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一名患有常染色体隐性遗传性肢带型肌营养不良症的女性行急诊剖宫产的麻醉管理

Anaesthetic management of a woman with autosomal recessive limb-girdle muscular dystrophy for emergency caesarean section.

作者信息

Allen T, Maguire S

机构信息

Department of Anaesthesia, South Manchester University Hospital, Manchester, UK.

出版信息

Int J Obstet Anesth. 2007 Oct;16(4):370-4. doi: 10.1016/j.ijoa.2007.03.003. Epub 2007 Jul 20.

Abstract

We report the successful management of a 28-year-old parturient with an autosomal recessive limb-girdle muscular dystrophy with severe restrictive lung disease, who required non-invasive positive pressure ventilation in the third trimester of her pregnancy. At 37 weeks' gestation she had combined spinal-epidural anaesthesia for emergency caesarean section and had an uncomplicated intra- and postoperative course. The anaesthetic management is discussed and the literature briefly reviewed.

摘要

我们报告了一例成功管理的病例,该28岁产妇患有常染色体隐性肢带型肌营养不良症并伴有严重限制性肺病,在妊娠晚期需要无创正压通气。妊娠37周时,她接受了腰麻-硬膜外联合麻醉进行急诊剖宫产,术中和术后过程均无并发症。本文讨论了麻醉管理并简要回顾了相关文献。

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