High-Risk Pregnancy Center, Department of Gynaecology and Obstetrics, University Federico II, 80100 Naples, Italy.
J Clin Anesth. 2012 Nov;24(7):573-7. doi: 10.1016/j.jclinane.2012.03.001. Epub 2012 Sep 20.
In the past, pregnancy was contraindicated in patients with spinal muscular atrophy. Recently, more cases are occurring because of improvement in survival and functional status. The goals for anesthetic management of these patients include satisfactory anesthesia during surgery and excellent postoperative analgesia with minimal compromise of respiratory function. Spinal anesthesia may be considered contraindicated due to spinal deformities, but successful spinal anesthesia was performed in a 37 year old parturient following magnetic resonance imaging of the spine.
在过去，脊髓性肌萎缩症患者是妊娠禁忌。最近，由于生存和功能状况的改善，这种情况越来越多。这些患者的麻醉管理目标包括手术期间满意的麻醉和术后镇痛，同时尽量减少呼吸功能的损害。由于脊柱畸形，椎管内麻醉可能被认为是禁忌，但对一位 37 岁的产妇进行脊柱磁共振成像后，成功实施了椎管内麻醉。
