Günaydın Berrin, Özek Aykut, Özterlemez Naciye Türk, Tuna Ayca Taş
Department of Anaesthesiology, Gazi University School of Medicine, Ankara, Turkey.
Department of Obstetrics and Gynecology, Gazi University School of Medicine, Ankara, Turkey.
Turk J Anaesthesiol Reanim. 2017 Aug;45(4):234-236. doi: 10.5152/TJAR.2017.65768. Epub 2017 Aug 1.
Hyperemesis gravidarum (HG) is one of the common unique liver diseases that occurs during pregnancy. Mild cases can be spontaneously resolved in time but severe cases usually require supportive medical treatment to relieve symptoms. Moreover, differential diagnosis may be required in severe cases that manifest with persistent nausea-vomiting, dehydration and weight loss refractory to treatment. Thus, to rule out any gastrointestinal pathology, this case was referred to the outpatient anaesthesia clinic after the first unsuccessful awake endoscopy attempt without sedation. Therefore, anaesthetic support for endoscopy of a pregnant woman with severe HG was presented in this case report.
妊娠剧吐（HG）是孕期常见的独特肝脏疾病之一。轻症病例可及时自行缓解，但重症病例通常需要支持性药物治疗以缓解症状。此外，对于表现为持续性恶心呕吐、脱水及治疗难以控制的体重减轻的重症病例，可能需要进行鉴别诊断。因此，为排除任何胃肠道病变，在首次未使用镇静剂的清醒内镜检查尝试失败后，该病例被转诊至门诊麻醉科。因此，本病例报告介绍了对一名患有重症HG的孕妇进行内镜检查的麻醉支持情况。
