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在一名法洛四联症矫治术后的女性中成功进行了硬膜外麻醉剖宫产。

Successful epidural anesthesia for cesarean delivery in a woman with Fontan repair.

机构信息

Department of Anesthesiology, Icahn School of Medicine at Mount Sinai, New York, NY.

Department of Anesthesiology, Icahn School of Medicine at Mount Sinai, New York, NY.

出版信息

J Clin Anesth. 2015 Feb;27(1):60-2. doi: 10.1016/j.jclinane.2014.08.006. Epub 2014 Nov 21.

DOI:10.1016/j.jclinane.2014.08.006
PMID:25468587
Abstract

The cohort of the adult population with congenital heart disease is steadily growing, as surgical and medical management advances; and many women with congenital heart disease are becoming pregnant and presenting to the labor and delivery suite [1]. The anesthesiologist must therefore have an understanding of the physiology of the corrected heart lesion and the impact of the physiologic changes of pregnancy [2]. A woman status post-Fontan procedure requiring cesarean delivery is presented.

摘要

随着外科和内科治疗的进步,患有先天性心脏病的成年人数量稳步增加;许多患有先天性心脏病的女性已经怀孕并出现在产房[1]。因此,麻醉师必须了解矫正心脏病变的生理学以及妊娠生理变化的影响[2]。本文介绍了一位接受过 Fontan 手术的女性,她需要进行剖宫产。

相似文献

1
Successful epidural anesthesia for cesarean delivery in a woman with Fontan repair.在一名法洛四联症矫治术后的女性中成功进行了硬膜外麻醉剖宫产。
J Clin Anesth. 2015 Feb;27(1):60-2. doi: 10.1016/j.jclinane.2014.08.006. Epub 2014 Nov 21.
2
Emergency cesarean section in a patient with Fontan circulation using an indwelling epidural catheter.使用留置硬膜外导管对一名处于Fontan循环的患者进行急诊剖宫产。
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Epidural anesthesia for emergency cesarean section in a woman with Fontan circulation: A case report.一名接受Fontan循环手术的女性在紧急剖宫产术中的硬膜外麻醉:病例报告。
Medicine (Baltimore). 2020 Jan;99(4):e18986. doi: 10.1097/MD.0000000000018986.
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Anesthetic Management of Parturients With a Fontan Circulation: A Review of Published Case Reports.Fontan循环产妇的麻醉管理:已发表病例报告综述
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Caesarean section following the Fontan procedure: two different deliveries and different anaesthetic choices in the same patient.Fontan手术后剖宫产:同一患者的两种不同分娩方式及不同麻醉选择
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Anaesthetic management of parturients with univentricular congenital heart disease and the Fontan operation.单心室先天性心脏病及Fontan手术产妇的麻醉管理
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Epidural anesthesia for cesarean delivery facilitated by minimally invasive hemodynamic monitoring in a patient with Fontan repair: a case report.在一名接受Fontan修复术的患者中,通过微创血流动力学监测辅助进行剖宫产硬膜外麻醉:一例病例报告。
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[Epidural anesthesia in cesarean section operations on pregnant and parturient women with concomitant cardiovascular diseases].
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[Combined spinal-epidural anesthesia for cesarean section in a parturient with myotonic dystrophy].[强直性肌营养不良产妇剖宫产的腰麻-硬膜外联合麻醉]
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引用本文的文献

1
Emergency cesarean section under general anesthesia using remimazolam in a pregnant woman with Fontan circulation : Case report with literature review.在一名患有Fontan循环的孕妇中使用瑞米唑仑进行全身麻醉下的急诊剖宫产:病例报告及文献综述
Anaesthesiologie. 2025 Feb;74(2):97-102. doi: 10.1007/s00101-025-01507-8. Epub 2025 Feb 13.
2
Management of cesarean section in a patient with Fontan circulation: a case report of dramatic reduction of maternal oxygen consumption after delivery.患有Fontan循环的患者剖宫产的管理:一例产后母体氧耗显著降低的病例报告
JA Clin Rep. 2020 Oct 4;6(1):77. doi: 10.1186/s40981-020-00385-w.
3
Epidural anesthesia for emergency cesarean section in a woman with Fontan circulation: A case report.
一名接受Fontan循环手术的女性在紧急剖宫产术中的硬膜外麻醉:病例报告。
Medicine (Baltimore). 2020 Jan;99(4):e18986. doi: 10.1097/MD.0000000000018986.
4
Consensus Document of the Italian Association of Hospital Cardiologists (ANMCO), Italian Society of Pediatric Cardiology (SICP), and Italian Society of Gynaecologists and Obstetrics (SIGO): pregnancy and congenital heart diseases.意大利医院心脏病学家协会(ANMCO)、意大利儿科心脏病学会(SICP)和意大利妇产科协会(SIGO)的共识文件:妊娠与先天性心脏病
Eur Heart J Suppl. 2017 May;19(Suppl D):D256-D292. doi: 10.1093/eurheartj/sux032. Epub 2017 May 2.