Department of Anesthesiology and Pain Medicine, Gangneung Asan Hospital, Ulsan University College of Medicine, Gangneung, Korea.
Korean J Anesthesiol. 2010 Aug;59(2):130-4. doi: 10.4097/kjae.2010.59.2.130. Epub 2010 Aug 20.
Epidural anesthesia was performed for a cesarean section in a patient with vasovagal syncope. A 26-year-old woman at 41 weeks of gestation and with a known history of vasovagal syncope was scheduled to undergo an emergency cesarean section. She received epidural anesthesia for the cesarean delivery and showed signs and symptoms of vasovagal syncope, which were treated successfully with fluids and the administration of a vasoconstrictor. This case highlights the need for anesthesiologists to understand vasovagal syncope precisely because severe hypotension in a patient under anesthesia for a cesarean section is dangerous to both the mother and baby.
硬膜外麻醉用于一例血管迷走性晕厥患者的剖宫产。一位 26 岁的女性,孕 41 周,有血管迷走性晕厥病史,计划行紧急剖宫产术。她接受了硬膜外麻醉进行剖宫产,出现了血管迷走性晕厥的征象和症状,经补液和血管收缩剂治疗成功。本病例强调了麻醉医生需要准确了解血管迷走性晕厥,因为剖宫产麻醉下严重低血压对母亲和婴儿都有危险。