Le B T, Bharadwaj S, Malinow A M
Department of Anesthesiology, University of Maryland School of Medicine, Baltimore, Maryland 21201, USA.
Int J Obstet Anesth. 2009 Apr;18(2):182-5. doi: 10.1016/j.ijoa.2008.10.005. Epub 2009 Feb 5.
There are limited numbers of reports concerning the management of pregnancy complicated by carcinoid tumors. Octreotide, the synthetic analogue of somatostatin, has been found to be beneficial in preventing the perioperative exacerbation of carcinoid syndrome. We present a case of the successful use of neuraxial analgesia/anesthesia for labor and vaginal delivery in a symptomatic parturient afflicted with carcinoid syndrome, who received an intravenous infusion of octreotide throughout labor and vaginal delivery.
关于妊娠合并类癌肿瘤管理的报告数量有限。生长抑素的合成类似物奥曲肽已被发现有助于预防类癌综合征的围手术期加重。我们报告了一例成功使用椎管内镇痛/麻醉进行分娩和阴道分娩的病例,该有症状的产妇患有类癌综合征,在整个分娩和阴道分娩过程中接受了奥曲肽静脉输注。