甲型 H1N1 流感肥胖产妇的脊麻分娩镇痛。
Neuraxial labor analgesia in an obese parturient with influenza A H1N1.
机构信息
Departments of Anesthesiology, Northwestern University Feinberg School of Medicine, Chicago, Illinois 60611, USA.
出版信息
Int J Obstet Anesth. 2010 Apr;19(2):223-6. doi: 10.1016/j.ijoa.2009.09.007. Epub 2010 Mar 2.
Abstract
We describe the use of epidural analgesia in a 39-year-old G2P1 parturient presenting at 38(+6) weeks estimated gestation with confirmed influenza A H1N1 and superimposed bilateral pneumonia. Although the patient had an uncomplicated intra- and post-partum course, little is known about the safety of performing neuraxial analgesia or anesthesia in patients with influenza. The prevalence of viremia and possible translocation of blood-borne virus to the central nervous system are discussed.
摘要
我们描述了一例 39 岁 G2P1 产妇的病例，她在 38(+6) 周妊娠时出现确诊的甲型 H1N1 流感和双侧肺炎。尽管该患者的产程和产后过程均无并发症，但对于流感患者进行椎管内镇痛或麻醉的安全性知之甚少。文中讨论了病毒血症的发生率和血液传播病毒向中枢神经系统转移的可能性。
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