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本文引用的文献

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Syndromic disorders with short stature.伴有身材矮小的综合征性疾病。
J Clin Res Pediatr Endocrinol. 2014;6(1):1-8. doi: 10.4274/Jcrpe.1149.
2
Estimation of the dose of hyperbaric bupivacaine for spinal anaesthesia for emergency caesarean section in an achondroplastic dwarf.软骨发育不全性侏儒症患者急诊剖宫产脊髓麻醉中高压布比卡因剂量的估算
Indian J Anaesth. 2010 Sep;54(5):481-2. doi: 10.4103/0019-5049.71030.
3
Anaesthesia for Caesarean section in a patient with diastrophic dwarfism.一名患先天性脊柱骨骺发育不良性侏儒症患者的剖宫产麻醉
Int J Obstet Anesth. 2007 Apr;16(2):145-8. doi: 10.1016/j.ijoa.2006.08.012. Epub 2007 Jan 30.
4
Diastrophic dwarfism and pregnancy.畸形性侏儒症与妊娠
Lancet. 2001 Nov 24;358(9295):1778. doi: 10.1016/S0140-6736(01)06806-4.
5
Spinal anaesthesia for emergency caesarean section in an achondroplastic dwarf.软骨发育不全性侏儒症患者急诊剖宫产的脊髓麻醉
Anaesthesia. 1998 Dec;53(12):1236-7. doi: 10.1046/j.1365-2044.1998.0716q.x.
6
Epidural anaesthesia for caesarean section in an achondroplastic dwarf.软骨发育不全性侏儒剖宫产的硬膜外麻醉
Br J Anaesth. 1998 Oct;81(4):619-21. doi: 10.1093/bja/81.4.619.

病例报告：一名侏儒症患者急诊剖宫产的麻醉管理

Case report: Anesthesia management for emergency cesarean section in a patient with dwarfism.

作者信息

Li Xiaoxi, Duan Hongjun, Zuo Mingzhang

机构信息

Department of Anesthesiology, Beijing Cancer Hospital & Institute, Beijing, 100142, China.

Department of Anesthesiology, Beijing Hospital, Beijing, 100730, China.

出版信息

BMC Anesthesiol. 2015 Apr 28;15:59. doi: 10.1186/s12871-015-0048-2.

DOI:10.1186/s12871-015-0048-2
PMID:25928113
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4429931/
Abstract

BACKGROUND

Dwarfism is characterized by short stature. Pregnancy in women with dwarfism is uncommon and cesarean section is generally indicated for delivery. Patients with dwarfism are high-risk population for both general and regional anesthesia, let alone in an emergency surgery.

CASE PRESENTATION

In this case report we present a 27-year-old Chinese puerpera with dwarfism who underwent emergency cesarean section under combined spinal and epidural anesthesia.

CONCLUSION

It is an original case report, which provides instructive significance for anesthesia management especially combined spinal and epidural anesthesia in this rare condition. There was only one former article that reported a puerpera who underwent combined spinal and epidural anesthesia for a selective cesarean section.

摘要

背景

侏儒症的特征是身材矮小。侏儒症女性怀孕并不常见，分娩通常需要剖宫产。侏儒症患者无论是全身麻醉还是区域麻醉都是高危人群，更不用说急诊手术了。

病例报告

在本病例报告中，我们介绍了一名27岁患侏儒症的中国产妇，她在腰麻-硬膜外联合麻醉下接受了急诊剖宫产。

结论

这是一篇原创病例报告，对于这种罕见情况下的麻醉管理尤其是腰麻-硬膜外联合麻醉具有指导意义。之前仅有一篇文章报道了一名产妇在选择性剖宫产时接受了腰麻-硬膜外联合麻醉。