Department of Anaesthesiology and Critical Care, All India Institute of Medical Sciences, Ansari Nagar, New Delhi, India.
Singapore Med J. 2010 Jun;51(6):e111-3.
Takayasu's arteritis is a rare form of nonspecific obliterative panarteritis of unknown aetiology. Anaesthesia for patients with Takayasu's arteritis is complicated by severe uncontrolled hypertension leading to end-organ dysfunction, stenosis of major blood vessels affecting regional circulation, and difficulties in the monitoring of arterial blood pressure. The anaesthetic approach for parturients with Takayasu's arteritis has not been standardised in the literature, and previous reports have documented the use of general as well as regional anaesthesia. There are few instances in the literature where low-dose spinal anaesthesia alone is used in patients with Takayasu's arteritis undergoing emergency caesarean section. We present a case of the successful management of a parturient with Takayasu's arteritis, who underwent an emergency caesarean section under low-dose spinal anaesthesia.
Takayasu 动脉炎是一种罕见的非特异性闭塞性全动脉炎,病因不明。Takayasu 动脉炎患者的麻醉因严重的无法控制的高血压而变得复杂,导致终末器官功能障碍、主要血管狭窄影响区域循环,以及动脉血压监测困难。Takayasu 动脉炎产妇的麻醉方法在文献中尚未标准化,以前的报告记录了全身麻醉和区域麻醉的使用。在文献中很少有 Takayasu 动脉炎患者在紧急剖宫产中单独使用低剂量脊髓麻醉的情况。我们报告了一例 Takayasu 动脉炎患者成功管理的案例,该患者在低剂量脊髓麻醉下接受了紧急剖宫产。