产妇因卡马西平治疗导致低钠血症的围手术期管理。
Perioperative management of a parturient with hyponatraemia due to carbamazepine therapy.
机构信息
Department of Anaesthesiology, Aretaieio Hospital, Medical School, University of Athens, Greece.
出版信息
Int J Obstet Anesth. 2012 Jan;21(1):93-7. doi: 10.1016/j.ijoa.2011.10.006. Epub 2011 Dec 5.
PMID:22153131
Abstract
We describe the perioperative management of an epileptic parturient who developed hyponatraemia due to carbamazepine therapy. Caesarean delivery was performed under combined spinal-epidural anaesthesia with a good outcome for both mother and neonate. The diagnostic and therapeutic approach, anaesthetic implications and maternal and neonatal risks for a patient with hyponatraemia complicating carbamazepine therapy are discussed.
摘要
我们描述了一位因卡马西平治疗而发生低钠血症的癫痫产妇的围手术期管理。在联合腰麻-硬膜外麻醉下进行了剖宫产，母婴结局良好。讨论了伴有卡马西平治疗相关低钠血症的患者的诊断和治疗方法、麻醉影响以及母婴风险。
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