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体外膜肺氧合在围生期心肌病产妇剖宫产中麻醉的应用：病例报告。

Anesthetic experience using extracorporeal membrane oxygenation for cesarean section in the patient with peripartum cardiomyopathy: a case report.

机构信息

Department of Anesthesiology and Pain Medicine, Eulji University Hospital, Daejeon, Korea.

Department of Anesthesiology and Pain Medicine, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea.

出版信息

Korean J Anesthesiol. 2014 May;66(5):392-7. doi: 10.4097/kjae.2014.66.5.392. Epub 2014 May 26.

DOI:10.4097/kjae.2014.66.5.392
PMID:24910733
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4041960/
Abstract

Peripartum cardiomyopathy is a rare form of cardiomyopathy that is associated with significant mortality. It can cause a cardiac arrest during cesarean section even though the patient does not have any previous symptom and sign. The most important thing of anesthesia in this patient is an optimization of hemodynamic and respiratory status. We report the successful general anesthesia using of extracorporeal membrane oxygenation for cesarean section in a 34-year-old woman with fulminant peripartum cardiomyopathy.

摘要

围生期心肌病是一种罕见的心肌病，与显著的死亡率相关。即使患者没有任何先前的症状和体征，它也可能在剖宫产时导致心脏骤停。该患者麻醉最重要的是优化血流动力学和呼吸状况。我们报告了一例使用体外膜肺氧合成功进行全身麻醉的病例，该患者为 34 岁患有暴发性围生期心肌病的女性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/88cc/4041960/82153f834e9a/kjae-66-392-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/88cc/4041960/82153f834e9a/kjae-66-392-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/88cc/4041960/82153f834e9a/kjae-66-392-g001.jpg

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本文引用的文献

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J Am Coll Cardiol. 2011 Aug 9;58(7):659-70. doi: 10.1016/j.jacc.2011.03.047.
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Case report and mini literature review: anesthetic management for severe peripartum cardiomyopathy complicated with preeclampsia using sufetanil in combined spinal epidural anesthesia.病例报告及文献复习：舒芬太尼复合腰硬联合麻醉用于重度围生期心肌病合并子痫前期患者的麻醉管理。
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Peripartum cardiomyopathy: Causes, diagnosis, and treatment.
产后患者出现难治性休克或呼吸衰竭时使用体外膜肺氧合。
Sci Rep. 2021 Jan 13;11(1):887. doi: 10.1038/s41598-020-80423-w.
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Preemptive ECMO Cannulation in a Patient with Severe Left Ventricular Systolic Dysfunction Undergoing Cesarean Delivery.对一名重度左心室收缩功能不全且正在接受剖宫产手术的患者进行预防性体外膜肺氧合插管。
Case Rep Anesthesiol. 2019 Apr 8;2019:2623608. doi: 10.1155/2019/2623608. eCollection 2019.
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Cesarean section in the setting of severe pulmonary hypertension requiring extracorporeal life support.
Gen Thorac Cardiovasc Surg. 2017 Sep;65(9):532-534. doi: 10.1007/s11748-016-0729-x. Epub 2016 Nov 25.
围产期心肌病：病因、诊断与治疗。
Cleve Clin J Med. 2009 May;76(5):289-96. doi: 10.3949/ccjm.76a.08004.
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Cardiac surgery in the parturient.产妇的心脏手术。
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