Truong H T, Browning R M
Department of Anaesthesia, King Edward Memorial Hospital, Subiaco, WA, Australia.
Department of Anaesthesia, King Edward Memorial Hospital, Subiaco, WA, Australia.
Int J Obstet Anesth. 2015 May;24(2):180-4. doi: 10.1016/j.ijoa.2014.12.009. Epub 2015 Jan 8.
Anaphylaxis during pregnancy is rare but life threatening to both mother and fetus. The anaesthetist may be unexpectedly faced with an obstructing airway, severe bronchospasm and cardiac arrest requiring perimortem caesarean delivery to relieve aortocaval compression. We present a case of anaphylaxis-induced hyperfibrinolysis, an infrequently discussed complication that could exacerbate postpartum haemorrhage and hamper resuscitative efforts.
孕期过敏反应虽罕见，但对母亲和胎儿均有生命威胁。麻醉医生可能会意外面临气道梗阻、严重支气管痉挛和心脏骤停，需要进行濒死剖宫产以解除主动脉腔静脉压迫。我们报告一例过敏反应诱发的高纤维蛋白溶解症，这是一种较少被讨论的并发症，可能会加重产后出血并妨碍复苏 efforts。 （这里efforts原词未翻译完整，可能存在错误，根据语境推测完整意思应该是妨碍复苏工作之类，正确英文原文此处应该有更准确的表述）
