主动脉缩窄未矫正产妇剖宫产的麻醉管理

Anaesthetic management for caesarean section in a parturient with uncorrected coarctation of the aorta.

作者信息

Bourgeade F, Malinovsky J-M

机构信息

Pôle URAD, service d'anesthésie réanimation, hôpital Maison-Blanche, 45 rue Cognacq-Jay, Reims, France.

出版信息

Ann Fr Anesth Reanim. 2010 Sep;29(9):642-4. doi: 10.1016/j.annfar.2010.07.006. Epub 2010 Aug 14.

DOI:10.1016/j.annfar.2010.07.006

PMID:20709490

Abstract

We present the case of a woman who refused RMI examination to diagnose a coarctation of her aorta before her third pregnancy. At term of 34 weeks of gestation the caesarean delivery was scheduled under spinal-epidural anaesthesia. Despite the use of a titrated regional anaesthesia, an important arterial hypotension occurred, restored with low doses of vasopressive agents.

摘要

我们报告一例病例，该名女性在第三次怀孕前拒绝接受磁共振成像（RMI）检查以诊断其主动脉缩窄。妊娠34周足月时，计划在腰麻-硬膜外联合麻醉下行剖宫产术。尽管使用了滴定式区域麻醉，但仍出现了严重的动脉低血压，通过小剂量血管升压药得以纠正。