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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。

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引用本文的文献

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Combined spinal epidural anaesthesia in a case of primigravida with coarctation of aorta with severe hypertension for elective lower segment caesarean section.一例初产妇合并主动脉缩窄及严重高血压，择期行下段剖宫产术时的腰麻-硬膜外联合麻醉。
Indian J Anaesth. 2017 Jul;61(7):598-599. doi: 10.4103/ija.IJA_178_16.
2
[Patient with a Fontan circulation undergoing caesarean section: Anesthesiological management].[接受剖宫产手术的Fontan循环患者：麻醉管理]
Anaesthesist. 2015 Jul;64(7):532-9. doi: 10.1007/s00101-015-0047-1. Epub 2015 Jul 10.