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[妊娠晚期孕妇急诊腹腔镜手术的麻醉管理。综合医院的经验]

[Anaesthetic management of patients in the third trimester of pregnancy undergoing urgent laparoscopic surgery. Experience in a general hospital].

作者信息

López-Collada Estrada María, Olvera Martínez Rosalba

机构信息

División de Anestesiología, Hospital General Dr. Manuel Gea González, Ciudad de México, México.

División de Anestesiología, Hospital General Dr. Manuel Gea González, Ciudad de México, México.

出版信息

Cir Cir. 2016 Sep-Oct;84(5):429-33. doi: 10.1016/j.circir.2015.05.053. Epub 2015 Dec 28.

Abstract

BACKGROUND

Laparoscopic surgery is well accepted as a safe technique when performed on a third trimester pregnant woman.

OBJECTIVE

The aim is to describe the anaesthetic management of a group of patients undergoing this type of surgery.

MATERIAL AND METHODS

An analysis was made of records of 6 patients in their third trimester of pregnancy and who underwent urgent laparoscopic surgery from 2011 to 2013.

CLINICAL CASES

The study included 6 patients, with a diagnosis of acute cholecystitis in 4 of them. The other 2 patients had acute appendicitis, both of who presented threatened preterm labour.

CONCLUSION

The most frequent indications for laparoscopic surgery during the last trimester of birth were found to be acute cholecystitis and acute appendicitis. Acute appendicitis is related to an elevated risk of presenting threatened preterm labour.

摘要

背景

腹腔镜手术应用于孕晚期妇女时,作为一种安全技术已被广泛接受。

目的

旨在描述接受此类手术的一组患者的麻醉管理。

材料与方法

对2011年至2013年期间6例孕晚期接受紧急腹腔镜手术的患者记录进行分析。

临床病例

该研究包括6例患者,其中4例诊断为急性胆囊炎。另外2例患有急性阑尾炎,均出现先兆早产。

结论

发现孕晚期进行腹腔镜手术最常见的指征是急性胆囊炎和急性阑尾炎。急性阑尾炎与出现先兆早产的风险升高有关。

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