Cordone M, Wolfson A, Wolfson N, Penning D
Department of Anesthesiology and Critical Care Medicine, Johns Hopkins Hospital, Baltimore, MD, USA.
Int J Obstet Anesth. 2008 Jan;17(1):57-60. doi: 10.1016/j.ijoa.2007.04.002. Epub 2007 Aug 10.
Laboring patients with congenitally corrected transposition of the great arteries present an interesting challenge to anesthesiologists because of the physiological changes that take place during pregnancy and the stress induced by labor. This paper describes the detailed management of a symptomatic parturient with congenitally corrected transposition of the great arteries. The patient was managed with epidural analgesia instituted early in labor with a continuous low-concentration infusion of local anesthetic and opioid but without an initial bolus. She underwent uneventful forceps-assisted vaginal delivery.
患有先天性矫正型大动脉转位的产妇，由于孕期发生的生理变化以及分娩引起的应激反应，给麻醉医生带来了有趣的挑战。本文描述了一位患有先天性矫正型大动脉转位的有症状产妇的详细管理情况。该患者在分娩早期开始使用硬膜外镇痛，持续低浓度输注局部麻醉药和阿片类药物，但未给予初始推注剂量。她顺利接受了产钳辅助阴道分娩。
