Leduc L, Kirshon B, Diaz S F, Cotton D B
Department of Obstetrics and Gynecology, Baylor College of Medicine, Houston, TX 77030.
J Reprod Med. 1990 Jul;35(7):727-9.
Maternal pulmonary hypertension can be life threatening, and many problems and complications can occur during labor and delivery as well as postpartum. A case of severe maternal pulmonary hypertension was monitored with a pulmonary artery catheter. Intrathecal morphine was administered for labor analgesia, and low-dose dopamine was utilized for maternal oliguria. Neither the morphine nor the dopamine resulted in adverse maternal hemodynamic effects. Both analgesia and resolution of the oliguria were accomplished.
孕产妇肺动脉高压可危及生命，在分娩及产后过程中会出现诸多问题和并发症。一例重度孕产妇肺动脉高压患者通过肺动脉导管进行监测。鞘内注射吗啡用于分娩镇痛，小剂量多巴胺用于治疗产妇少尿。吗啡和多巴胺均未对产妇血流动力学产生不良影响。镇痛和少尿症状均得到缓解。
