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[分娩时使用丙胺卡因进行会阴部麻醉后新生儿出现高铁血红蛋白血症。病例报告]

[Methemoglobinemia in a newborn infant following pudendal anesthesia in labor with prilocaine. A case report].

作者信息

Hrgovic Z

机构信息

Frauenklinik des St. Marienkrankenhauses Frankfurt am Main.

出版信息

Anasth Intensivther Notfallmed. 1990 Apr;25(2):172-4.

PMID:2360712
Abstract

A genetically intact newborn suffered from methaemoglobinaemia after delivery under pudendum anaesthesia with prilocaine. Complete restitution was promoted by i.v. applied ascorbic acid and thionine. This is of special importance because in this case methaemoglobinaemia was not produced by medication of the patient herself but must be attributed to the local anaesthesia of the mother with prilocaine. The special sensitivity of newborn and infants, as well as the use of possible treatment methods as described in literature, are discussed.

摘要

一名基因正常的新生儿在使用丙胺卡因进行阴部麻醉分娩后患上了高铁血红蛋白血症。静脉注射抗坏血酸和硫堇促进了完全康复。这一点尤为重要,因为在这种情况下,高铁血红蛋白血症并非由患者自身用药引起,而必须归因于母亲使用丙胺卡因进行局部麻醉。文中讨论了新生儿和婴儿的特殊敏感性以及文献中所述的可能治疗方法。

相似文献

1
[Methemoglobinemia in a newborn infant following pudendal anesthesia in labor with prilocaine. A case report].[分娩时使用丙胺卡因进行会阴部麻醉后新生儿出现高铁血红蛋白血症。病例报告]
Anasth Intensivther Notfallmed. 1990 Apr;25(2):172-4.
2
[Fetal methemoglobinemia caused by prilocaine--is use of prilocaine for pudendal block still justified?].[由丙胺卡因引起的胎儿高铁血红蛋白血症——丙胺卡因用于阴部阻滞是否仍合理?]
Geburtshilfe Frauenheilkd. 1991 Mar;51(3):228-30. doi: 10.1055/s-2007-1023709.
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Transient neonatal methemoglobinemia caused by maternal pudendal anesthesia in delivery with prilocaine: report of two cases.分娩时因母亲使用丙胺卡因进行阴部麻醉导致新生儿短暂性高铁血红蛋白血症:两例报告。
Minerva Pediatr. 2013 Apr;65(2):213-7.
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Newborn methemoglobinemia following propitocaine intrapartum epidural block. First case report.分娩期硬膜外阻滞使用丙胺卡因后发生新生儿高铁血红蛋白血症。首例病例报告。
Obstet Gynecol. 1970 Jan;35(1):75-7.
5
[Methemoglobinemia in the newborn infant--caused by prilocaine?-- A case report].
Zentralbl Gynakol. 1995;117(2):105-7.
6
[Does the development of methemoglobin in the newborn infant affect the suitability of prilocaine for pudendal anesthesia? A clinical study in the peripartum phase].[新生儿高铁血红蛋白的形成是否会影响丙胺卡因用于阴部麻醉的适用性?围产期的一项临床研究]
Reg Anaesth. 1989 May;12(3):50-2.
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Transient Methemoglobinemia in three Neonates due to Maternal Pudendal Anesthesia.因产妇阴部麻醉导致三名新生儿出现短暂性高铁血红蛋白血症。
J Coll Physicians Surg Pak. 2017 Dec;27(12):783-784.
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Methaemoglobinaemia following prilocaine local anaesthesia.丙胺卡因局部麻醉后发生的高铁血红蛋白血症。
N Z Med J. 1972 Aug;76(483):104-5.
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Maternal and foetal methaemoglobinaemia caused by prilocaine.由丙胺卡因引起的母体和胎儿高铁血红蛋白血症。
Acta Anaesthesiol Scand Suppl. 1969;37:258-63. doi: 10.1111/j.1399-6576.1970.tb00922.x.
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Methemoglobinemia due to application of prilocaine during circumcision and the effect of ascorbic acid.包皮环切术中应用丙胺卡因所致高铁血红蛋白血症及维生素C的作用。
J Pediatr Urol. 2008 Dec;4(6):475-6. doi: 10.1016/j.jpurol.2008.04.004. Epub 2008 Jun 10.

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