Camba Rodríguez M A, Yáñez González A M, González Ruiz F
Rev Esp Anestesiol Reanim. 1989 Jan-Feb;36(1):45-7.
A case of a 21 year old pregnant patient with a Eisenmenger's syndrome is reported. She was in her 38th weeks of pregnancy and submitted to a cesarean section under epidural anaesthesia. In spite of a FiO2 1 administered through a nonrebreathing mask, she presented refractory hypoxemia. Hypotension during delivering was observed and treated with sympathomimetic drugs. Four days later, the patient presented a pulmonary thromboembolic clinical phenomena and died. Eisenmenger's syndrome during pregnancy is reviewed. Maternal mortality rate is higher in cesarean section (75%) when compared with vaginal delivery. We conclude that epidural anaesthesia can be an useful technique for these patients under a careful hemodynamic management and a proper dose of local anaesthetics.
报道了一例21岁患有艾森曼格综合征的孕妇病例。她怀孕38周，在硬膜外麻醉下接受了剖宫产手术。尽管通过无重复呼吸面罩给予了1的吸入氧浓度，但她仍出现难治性低氧血症。分娩过程中观察到低血压，并使用拟交感神经药物进行治疗。四天后，患者出现肺血栓栓塞临床症状并死亡。对孕期艾森曼格综合征进行了综述。与阴道分娩相比，剖宫产时的孕产妇死亡率更高（75%）。我们得出结论，在仔细的血流动力学管理和适当剂量的局部麻醉药作用下，硬膜外麻醉对这些患者可能是一种有用的技术。
