Xiao Wei, Zhao Lei, Wang Fengying, Sun Hong, Wang Tianlong, Zhao Guoguang
Department of Anesthesiology, Xuan Wu Hospital, Capital Medical University, Beijing 100053, China.
Department of Obstetrics and Gynecology, Xuan Wu Hospital, Capital Medical University, Beijing 100053, China.
J Clin Anesth. 2017 Feb;36:107-109. doi: 10.1016/j.jclinane.2016.10.009. Epub 2016 Dec 1.
Cases of amyotrophic lateral sclerosis with pregnancy are quite rare. The aim of this case report is to present the successful use of total intravenous anesthesia without muscle relaxant for cesarean section in a parturient with amyotrophic lateral sclerosis at 35 weeks' gestation. The parturient presented with impaired neuromuscular function. Titrated general anesthesia with short-acting anesthetics was applied. During the procedure, no muscle relaxant was used. This strategy helped avoid prolonged ventilation and prevent maternal respiratory complications.
妊娠合并肌萎缩侧索硬化症的病例相当罕见。本病例报告的目的是介绍在一名妊娠35周的肌萎缩侧索硬化症产妇剖宫产术中成功使用无肌松剂的全静脉麻醉。该产妇存在神经肌肉功能受损。采用了短效麻醉剂滴定全身麻醉。术中未使用肌松剂。这一策略有助于避免通气时间延长并预防产妇呼吸并发症。
