一名接受血液透析的常染色体显性多囊肾病患者行急诊剖宫产术的麻醉注意事项。
Anesthetic considerations in a patient of autosomal dominant polycystic kidney disease on hemodialysis for emergency cesarean section.
作者信息
Fernandes Sarita D, Suvarna Deepa
机构信息
Department of Anaesthesiology, B.Y.N.L Charitable Hospital, Mumbai Central, Mumbai, India.
出版信息
J Anaesthesiol Clin Pharmacol. 2011 Jul;27(3):400-2. doi: 10.4103/0970-9185.83694.
Abstract
Renal disease, either preexisting or occurring during gestation may impair maternal and fetal health. A 35-year-old primigravida with autosomal dominant polycystic kidney disease on hemodialysis was scheduled for emergency cesarean section. She was managed successfully with low-dose intrathecal bupivacaine and fentanyl. In the case of pregnancy in such a patient, early involvement of the nephrologists along with the obstetrician can improve maternal and fetal outcome.
摘要
肾病，无论是孕前已存在的还是孕期发生的，都可能损害母婴健康。一名35岁患有常染色体显性多囊肾病且正在接受血液透析的初产妇计划进行急诊剖宫产。她通过低剂量鞘内注射布比卡因和芬太尼成功完成了手术。对于此类患者怀孕的情况，肾病科医生与产科医生尽早共同参与可改善母婴结局。
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