心脏三房心患者剖宫产行腰硬联合麻醉
Combined spinal-epidural anesthesia for cesarean delivery in a patient with cor triloculare biventriculare.
机构信息
Department of Anesthesiology, The Affiliated Hospital of Xuzhou Medical University, NO. 99 Huaihai Road, Quanshan District, Xuzhou city, Jiangsu Province, China.
Jiangsu Province Key Laboratory of Anesthesiology, Xuzhou, 221002, China.
出版信息
BMC Anesthesiol. 2017 Aug 29;17(1):115. doi: 10.1186/s12871-017-0411-6.
BACKGROUND
Cor triloculare biventriculare accounts for approximately 0.31% of cases of congenital heart disease (CHD). Moreover, people with cor triloculare biventriculare always have shorter life spans, and cases of gestation are rare. There have been various related reports of cor triloculare biventriculare in recent years.
CASE PRESENTATION
We described an emergency cesarean section of a 30-year-old, 38-weeks-pregnant woman suffering from cardiac insufficiency and fetal distress. Combined spinal-epidural anesthesia was performed safely, and a male baby was smoothly delivered 10 min after the procedure without any adverse outcome on the mother or newborn. After surgery, we advised that the patient submit to an echocardiogram examination, which revealed the congenital heart disease cor triloculare biventriculare.
CONCLUSIONS
Combined spinal-epidural anesthesia was administered to a patient with cor triloculare biventricularethis with good effect, ensuring the patient's safety and meeting the need for emergency surgery.
背景
三房心二心室畸形约占先天性心脏病（CHD）病例的 0.31%。此外，三房心二心室畸形患者的预期寿命通常较短，妊娠病例较为罕见。近年来有各种相关的三房心二心室畸形报告。
病例介绍
我们描述了一例紧急剖宫产术，患者为一名 30 岁、38 周妊娠的女性，患有心功能不全和胎儿窘迫。安全地实施了腰硬联合麻醉，在操作后 10 分钟顺利娩出一名男婴，母婴均无不良结局。手术后，我们建议患者进行超声心动图检查，结果显示其患有先天性心脏病三房心二心室畸形。
结论
为患有三房心二心室畸形的患者实施腰硬联合麻醉效果良好，保证了患者的安全，满足了紧急手术的需要。
Zotero 插件