Duman Ates, Sarkilar Gamze, Dayioglu Mürüvvet, Ozden Mine, Görmüs Niyazi
Department of Anesthesiology and Intensive Care, Selcuk Universitesi, Tip Fakultesi, Anestezi ve Reanimasyon AD, Konya, Turkey.
Middle East J Anaesthesiol. 2010 Feb;20(4):577-80.
We describe a case of 41-yr.-old multigravida at 35 weeks gestation, with a diagnosis of Eisenmenger syndrome, requiring urgent Cesarean section. The parturient had signs and symptoms of respiratory distress due to high pulmonary artery pressure, and the pregnancy was complicated by preeclampsia. A general anesthetic consisting of ketamine and etomidate and an intravenous infusion of remifentanil were used to provide stable anesthesia and analgesia for a successful delivery. The baby was delivered with high Apgar scores. The potential benefits and safety of the use of remifentanil in parturients with high pulmonary artery pressures are discussed.
我们描述了一例35周妊娠的41岁经产妇，诊断为艾森曼格综合征，需要紧急剖宫产。该产妇因肺动脉高压出现呼吸窘迫的体征和症状，且妊娠合并子痫前期。使用由氯胺酮和依托咪酯组成的全身麻醉以及瑞芬太尼静脉输注，以提供稳定的麻醉和镇痛，从而成功分娩。婴儿出生时阿氏评分高。本文讨论了瑞芬太尼用于肺动脉高压产妇的潜在益处和安全性。
