Crosby E T, Halpern S H, Rolbin S H
Department of Anaesthesia & Women's College Hospital, Toronto, Ontario.
Can J Anaesth. 1989 Nov;36(6):701-4. doi: 10.1007/BF03005425.
The safety of epidural anaesthesia in patients with active, recurrent genital herpes simplex (HSV) infections is controversial. We reviewed the six-year experience of the use of epidural anaesthesia in this patient population in two institutions. Eighty-nine parturients with active genital HSV were administered epidural anaesthesia for Caesarean section. No patient suffered an adverse outcome related to either the anaesthetic or the virus. The theoretical risks of regional anaesthesia in the parturient with active herpes genitalis are reviewed. We conclude from available data that the risk of an adverse outcome is small and does not contraindicate the use of epidural anaesthesia in patients with recurrent infection.
对于患有活动性复发性单纯疱疹病毒（HSV）感染的患者，硬膜外麻醉的安全性存在争议。我们回顾了两家机构在这一患者群体中使用硬膜外麻醉的六年经验。89例患有活动性生殖器HSV感染的产妇接受了剖宫产硬膜外麻醉。没有患者出现与麻醉或病毒相关的不良后果。本文综述了活动性生殖器疱疹产妇进行区域麻醉的理论风险。我们从现有数据得出结论，不良后果的风险很小，并不构成复发性感染患者使用硬膜外麻醉的禁忌。
