• 文献检索
  • 文档翻译
  • 深度研究
  • 学术资讯
  • Suppr Zotero 插件Zotero 插件
  • 邀请有礼
  • 套餐&价格
  • 历史记录
应用&插件
Suppr Zotero 插件Zotero 插件浏览器插件Mac 客户端Windows 客户端微信小程序
定价
高级版会员购买积分包购买API积分包
服务
文献检索文档翻译深度研究API 文档MCP 服务
关于我们
关于 Suppr公司介绍联系我们用户协议隐私条款
关注我们

Suppr 超能文献

核心技术专利：CN118964589B侵权必究
粤ICP备2023148730 号-1Suppr @ 2026

文献检索

告别复杂PubMed语法，用中文像聊天一样搜索，搜遍4000万医学文献。AI智能推荐，让科研检索更轻松。

立即免费搜索

文件翻译

保留排版，准确专业，支持PDF/Word/PPT等文件格式，支持 12+语言互译。

免费翻译文档

深度研究

AI帮你快速写综述，25分钟生成高质量综述，智能提取关键信息，辅助科研写作。

立即免费体验

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.

DOI:10.4103/0970-9185.83694
PMID:21897520
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3161474/
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。

相似文献

1
Anesthetic considerations in a patient of autosomal dominant polycystic kidney disease on hemodialysis for emergency cesarean section.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。
J Anaesthesiol Clin Pharmacol. 2011 Jul;27(3):400-2. doi: 10.4103/0970-9185.83694.
2
Case Report: Anesthesia for Cesarean Section in Parturients With Chronic Renal Failure Requiring Hemodialysis: Case Reports and Literature Review.病例报告：需要血液透析的慢性肾衰竭产妇剖宫产的麻醉：病例报告与文献综述
Front Surg. 2022 Jun 15;9:848496. doi: 10.3389/fsurg.2022.848496. eCollection 2022.
3
[Fentanyl shows different effects by administration routes on bispectral index during spinal anesthesia in patients undergoing cesarean section].[剖宫产患者脊髓麻醉期间芬太尼不同给药途径对脑电双频指数的影响]
Masui. 2006 Nov;55(11):1393-7.
4
Successful pregnancy in a patient with autosomal dominant polycystic kidney disease on long-term hemodialysis.长期血液透析的常染色体显性遗传性多囊肾病患者成功妊娠。
J Korean Med Sci. 2014 Feb;29(2):301-4. doi: 10.3346/jkms.2014.29.2.301. Epub 2014 Jan 28.
5
Synergistic effect of intrathecal fentanyl and bupivacaine in spinal anesthesia for cesarean section.鞘内注射芬太尼和布比卡因在剖宫产脊髓麻醉中的协同作用。
BMC Anesthesiol. 2005 May 17;5(1):5. doi: 10.1186/1471-2253-5-5.
6
The effect of intrathecal fentanyl added to hyperbaric bupivacaine on maternal respiratory function during Cesarean section.剖宫产时鞘内注射芬太尼联合高压布比卡因对产妇呼吸功能的影响。
Acta Anaesthesiol Scand. 2006 Mar;50(3):364-7. doi: 10.1111/j.1399-6576.2006.00961.x.
7
[Maternal and neonatal plasma concentrations of bupivacaine during peridural anesthesia for cesarean section].剖宫产硬膜外麻醉期间布比卡因的母体和新生儿血浆浓度
Reg Anaesth. 1990 Aug;13(6):133-7.
8
Case report: pregnancy in hemodialysis-dependent end-stage renal disease: anesthetic considerations.
Can J Anaesth. 2007 Jul;54(7):556-60. doi: 10.1007/BF03022320.
9
[7-year survey of anesthesia for cesarean section--comparison of tetracaine and bupivacaine as intrathecal anesthetic agents].剖宫产麻醉7年调查——丁卡因与布比卡因作为鞘内麻醉剂的比较
Masui. 2007 Jan;56(1):61-8.
10
The ED50 and ED95 of intrathecal isobaric bupivacaine with opioids for cesarean delivery.鞘内注射等比重布比卡因联合阿片类药物用于剖宫产的半数有效剂量（ED50）和95%有效剂量（ED95）
Anesthesiology. 2005 Sep;103(3):606-12. doi: 10.1097/00000542-200509000-00025.

引用本文的文献

1
Case Report: Anesthesia for Cesarean Section in Parturients With Chronic Renal Failure Requiring Hemodialysis: Case Reports and Literature Review.病例报告：需要血液透析的慢性肾衰竭产妇剖宫产的麻醉：病例报告与文献综述
Front Surg. 2022 Jun 15;9:848496. doi: 10.3389/fsurg.2022.848496. eCollection 2022.
2
Perioperative management of hysterectomy in a patient with polycystic kidney disease.多囊肾病患者子宫切除术的围手术期管理
J Clin Diagn Res. 2014 Jul;8(7):GD03-4. doi: 10.7860/JCDR/2014/8365.4566. Epub 2014 Jul 20.

本文引用的文献

1
Synergistic effect of intrathecal fentanyl and bupivacaine in spinal anesthesia for cesarean section.鞘内注射芬太尼和布比卡因在剖宫产脊髓麻醉中的协同作用。
BMC Anesthesiol. 2005 May 17;5(1):5. doi: 10.1186/1471-2253-5-5.
2
Regional anesthesia in the anticoagulated patient: defining the risks (the second ASRA Consensus Conference on Neuraxial Anesthesia and Anticoagulation).抗凝患者的区域麻醉：界定风险（第二届美国区域麻醉和疼痛医学学会关于椎管内麻醉与抗凝的共识会议）
Reg Anesth Pain Med. 2003 May-Jun;28(3):172-97. doi: 10.1053/rapm.2003.50046.
3
Safe epidural analgesia in thirty parturients with platelet counts between 69,000 and 98,000 mm(-3).30例血小板计数在69,000至98,000/mm³之间的产妇的安全硬膜外镇痛。
Anesth Analg. 1997 Aug;85(2):385-8. doi: 10.1097/00000539-199708000-00025.
4
Pregnancy and renal disease.妊娠与肾脏疾病
N Engl J Med. 1996 Jul 25;335(4):277-8. doi: 10.1056/NEJM199607253350410.
5
Effect of hemodialysis on uterine and umbilical artery Doppler flow velocity waveforms.
Am J Obstet Gynecol. 1994 May;170(5 Pt 1):1386-8. doi: 10.1016/s0002-9378(94)70166-0.
6
Kidney function in pregnant women.
Am J Kidney Dis. 1987 Apr;9(4):248-52. doi: 10.1016/s0272-6386(87)80117-8.
7
Dialysis in the management of pregnant patients with renal insufficiency.
Medicine (Baltimore). 1988 Jul;67(4):199-208. doi: 10.1097/00005792-198807000-00001.
8
Pregnancy outcome in women requiring chronic hemodialysis.需要长期血液透析的女性的妊娠结局
Obstet Gynecol. 1988 Sep;72(3 Pt 2):456-9.
9
Unrecognized thrombocytopenia and regional anesthesia in parturients: a retrospective review.未识别的产妇血小板减少症与区域麻醉：一项回顾性研究。
Obstet Gynecol. 1989 Jun;73(6):943-6. doi: 10.1097/00006250-198906000-00007.
10
Renal failure in pregnancy.妊娠合并肾衰竭
Semin Perinatol. 1990 Feb;14(1):59-67.