Wang Wei, Meng Xiu-li, Jia Dong-lin, Guo Xiang-yang
Department of Anesthesiology, Peking University Third Hospital, Beijing 100191, China.
Beijing Da Xue Xue Bao Yi Xue Ban. 2010 Dec 18;42(6):657-8.
Scoliosis refers to a complex three-dimensional spine deformity. Onset of scoliosis can occur in an infantile, juvenile, adolescent, or adult period. Severe scoliosis not only affects the appearance of the patient, but also impairs the functions of circulation and respiratory systems. Significant changes of the cardiopulmonary function can occur during pregnancy. In this report, general anesthesia was needed for emergent cesarean section of the puerperant complicated with severe scoliosis. The puerperant had already suffered type II respiratory failure preoperatively. There might be managements of difficult airway, depression with circulation and respiration of the neonate, and the risk for inhibition of the uterine contraction and awareness. Facing the challenges, the anesthesiologists must work out a detail anesthesia plan quickly, and make sure the safety of the puerperant and the neonate.
脊柱侧弯是指一种复杂的三维脊柱畸形。脊柱侧弯可发生于婴儿期、儿童期、青少年期或成年期。严重的脊柱侧弯不仅影响患者的外观，还会损害循环和呼吸系统的功能。孕期心肺功能可能会发生显著变化。在本报告中，一名患有严重脊柱侧弯的产妇因紧急剖宫产需要全身麻醉。该产妇术前已出现II型呼吸衰竭。可能存在气道管理困难、新生儿循环和呼吸抑制以及子宫收缩抑制和知晓风险。面对这些挑战，麻醉医生必须迅速制定详细的麻醉计划，并确保产妇和新生儿的安全。
