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[特发性颅内高压:脑脊液压力恢复正常后行硬膜外麻醉剖宫产术]

[Idiopathic intracranial hypertension: a caesarean with epidural anaesthesia after bringing the cerebrospinal fluid pressure back to normal].

作者信息

Pérez Rodríguez M, de Carlos Errea J, Dorronsoro Auzmendi M, Batllori Gastón M

机构信息

Servicio de Anestesiología y Reanimación, Complejo Hospitalario de Navarra, Pamplona, España.

出版信息

Rev Esp Anestesiol Reanim. 2013 Dec;60(10):594-6. doi: 10.1016/j.redar.2012.10.008. Epub 2012 Dec 8.

Abstract

Idiopathic intracranial hypertension is diagnosed by exclusion. Because of its uncertain physiopathology and infrequent occurrence, its anaesthetic management is not well defined. The patient in this case is a pregnant woman with this disease with no lumbar-peritoneal shunt who was referred for non-urgent caesarean section, consisting of CSF drainage and pressure normalisation before the administration of epidural anaesthesia. We believe this technique can de effective to achieve adequate blockage and increased patient comfort, as well as improving postoperative recovery.

摘要

特发性颅内高压通过排除法诊断。由于其生理病理学尚不明确且发病率较低,其麻醉管理尚无明确界定。该病例中的患者是一名患有此病且未行腰大池-腹腔分流术的孕妇,因非紧急剖宫产入院,即在实施硬膜外麻醉前进行脑脊液引流并使压力恢复正常。我们认为这种技术可有效实现充分阻滞,提高患者舒适度,并改善术后恢复情况。

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