French J L H, McCullough J, Bachra P, Bedforth N M
Department of Anaesthesia, Nottingham University Hospitals NHS Trust (Queens Medical Centre), Nottingham, UK.
Int J Obstet Anesth. 2009 Jan;18(1):52-4. doi: 10.1016/j.ijoa.2008.06.005. Epub 2008 Nov 7.
We present our management of a 24-year-old primigravida with a recently diagnosed low-grade left temporal astroglioma, who was delivered by elective caesarean section. General anaesthesia with supplementary bilateral ultrasound-guided transversus abdominis plane blocks was chosen to reduce the requirements for intra- and postoperative opioids, the risk of postoperative respiratory depression and the potential exacerbation of borderline raised intracranial pressure.
我们介绍了对一名24岁初产妇的管理情况,该产妇最近被诊断为左侧颞叶低度星形细胞瘤,通过择期剖宫产分娩。选择全身麻醉并辅以双侧超声引导下腹横肌平面阻滞,以减少术中和术后阿片类药物的用量、术后呼吸抑制的风险以及临界性颅内压升高的潜在加重情况。