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[脑肿瘤孕妇的紧急剖宫产与脑室腹腔分流术]

[Emergency abdominal delivery and ventriculoperitoneal bypass in pregnant females with brain tumor].

作者信息

Volodin A V, Nemirovskiĭ V B

出版信息

Anesteziol Reanimatol. 2007 Nov-Dec(6):57-9.

Abstract

The paper describes a case from the practice of the maternity hospital, City Hospital Sixty-Seven. The pregnant woman at gestational weeks 36-37 was found to have a brain tumor complicated by obstructive hydrocephalus and dislocation syndrome. Ventriculoperitoneal bypass and abdominal delivery were simultaneously performed under endotracheal anesthesia using propofol, nitrous oxide, and small-dose ketamine (25 mg), and after fetal extraction, fentanyl. At minutes 1 and 5, the Apgar score of the neonate was 8 and 8, respectively. The patient was discharged from the hospital in satisfactory condition on day 7 postoperatively and it was recommended that her surgical treatment at a neurosurgical clinic be decided.

摘要

该论文描述了市立六十七医院妇产科的一个病例。一名妊娠36 - 37周的孕妇被发现患有脑肿瘤,并伴有梗阻性脑积水和脱位综合征。在丙泊酚、氧化亚氮和小剂量氯胺酮(25毫克)的气管内麻醉下,同时进行了脑室腹腔分流术和剖宫产,胎儿取出后使用了芬太尼。新生儿在第1分钟和第5分钟时的阿氏评分分别为8分和8分。患者术后第7天状况良好出院,并建议在神经外科诊所确定其手术治疗方案。

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