脊髓-硬膜外联合麻醉在烟雾病剖宫产手术中的应用-病例报告-。
Combined spinal-epidural anesthesia for cesarean section in a patient with Moyamoya disease -A case report-.
机构信息
Department of Anesthesiology and Pain Medicine, Fatima Hospital, Daegu, Korea.
出版信息
Korean J Anesthesiol. 2010 Dec;59 Suppl(Suppl):S150-3. doi: 10.4097/kjae.2010.59.S.S150. Epub 2010 Dec 31.
Abstract
Moyamoya disease is a rare progressive occlusive disease of the internal carotid arteries. We report a case of combined spinal-epidural anesthesia in a patient with Moyamoya disease presenting for Cesarean section. Hypotension associated with spinal anesthesia for Cesarean section is the most common and serious adverse effect despite the use of uterine displacement and volume preload. We continuously infused phenylephrine and ephedrine to prevent hypotension. The intraoperative hemodynamic state was stable. The patient had no significant postoperative complications.
摘要
烟雾病是一种罕见的颈内动脉进行性闭塞性疾病。我们报告了一例合并脊髓-硬膜外麻醉的烟雾病患者行剖宫产术的病例。尽管使用了子宫移位和容量预充，但剖宫产时脊髓麻醉引起的低血压仍然是最常见和最严重的不良反应。我们持续输注去氧肾上腺素和麻黄碱来预防低血压。术中血流动力学状态稳定。患者术后无明显并发症。
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Phenylephrine added to prophylactic ephedrine infusion during spinal anesthesia for elective cesarean section.在择期剖宫产脊髓麻醉期间，将去氧肾上腺素添加到预防性麻黄碱输注中。
Anesthesiology. 2001 Sep;95(3):668-74. doi: 10.1097/00000542-200109000-00020.
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