慢性肾衰竭未透析产妇的择期剖宫产
Elective cesarean delivery in non-dialyzed parturient with chronic renal failure.
作者信息
Ankichetty Saravanan P, Murphy Caitriona, Angle Pamela, Halpern Stephen
机构信息
Department of Obstetric Anesthesia, Sunnybrook Health Sciences Centre, University of Toronto, ON, Canada.
出版信息
J Anaesthesiol Clin Pharmacol. 2013 Jan;29(1):102-4. doi: 10.4103/0970-9185.105814.
Abstract
Chronic renal failure is rare in pregnancy and often results in significant maternal and neonatal morbidity. When possible, preoperative dialysis is useful to optimize fluid and electrolyte balance. We describe the perioperative management of a parturient who persistently refused dialysis, had an uneventful cesarean delivery under graded epidural anesthesia.
摘要
慢性肾衰竭在妊娠中较为罕见，常导致严重的母婴发病率。如有可能，术前透析有助于优化液体和电解质平衡。我们描述了一名产妇的围手术期管理情况，该产妇持续拒绝透析，在分级硬膜外麻醉下顺利进行了剖宫产。
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