Sumikura Hiroyuki, Hamada Takako, Idei Masafumi
Department of Obstetric Anesthesia, National Center for Child Health and Development, Tokyo 157-8535.
Masui. 2014 Jan;63(1):31-8.
Peripartum cardiomyopathy (PPCM) is a rare life-threatening cardiomyopathy of unknown cause that occurs in the peripartum period in previously healthy women, and is becoming the leading cause of maternal death in U.S.A and U.K. Anesthesiologists are supposed to be involved in the deliveries of those parturients with PPCM by providing labor analgesia, anesthesia for cesarean section and for heart transplantation. For cesarean section, either regional anesthesia or general anesthesia can be chosen, but low dose combined spinal-epidural analgesia has been reported to be a reliable choice.
围产期心肌病（PPCM）是一种病因不明的罕见且危及生命的心肌病，发生于既往健康的女性围产期，在美国和英国正成为孕产妇死亡的主要原因。麻醉医生应参与患有PPCM产妇的分娩过程，提供分娩镇痛、剖宫产及心脏移植手术的麻醉。对于剖宫产，可以选择区域麻醉或全身麻醉，但据报道低剂量腰麻-硬膜外联合镇痛是一种可靠的选择。
