二尖瓣狭窄与妊娠：麻醉实践中的当前概念
Mitral stenosis and pregnancy: Current concepts in anaesthetic practice.
作者信息
Kannan M, Vijayanand G
机构信息
Department of Anaesthesia and Critical Care, Tirunelveli Medical College, Under Government of Tamilnadu, Tamil Nadu - 627 011, India.
出版信息
Indian J Anaesth. 2010 Sep;54(5):439-44. doi: 10.4103/0019-5049.71043.
Abstract
The incidence of rheumatic mitral stenosis is grossly reduced in India. Still, among heart disease complicating pregnancy, rheumatic mitral stenosis occupies a greater segment. The unique physiological changes in pregnancy and the pathological impact of mitral stenosis over pregnancy and labour are discussed in detail. A multidisciplinary approach in the diagnosis and management reduces the mortality and morbidity during peripartum. The labour analgesia technique and the evidence-based regional and general anaesthesia techniques are discussed at length in this article.
摘要
在印度，风湿性二尖瓣狭窄的发病率大幅降低。尽管如此，在妊娠合并心脏病中，风湿性二尖瓣狭窄仍占较大比例。本文详细讨论了妊娠期间独特的生理变化以及二尖瓣狭窄对妊娠和分娩的病理影响。多学科的诊断和管理方法可降低围产期的死亡率和发病率。本文还详细讨论了分娩镇痛技术以及基于证据的区域麻醉和全身麻醉技术。
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