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A Pregnant Woman with Spina Bifida: Need for a Multidisciplinary Labor Plan.

作者信息

O'Neal Mary Angela

机构信息

Department of Neurology, Brigham and Women's Hospital, Boston, MA, United States.

出版信息

Front Med (Lausanne). 2017 Oct 13;4:172. doi: 10.3389/fmed.2017.00172. eCollection 2017.

DOI:10.3389/fmed.2017.00172
PMID:29082228
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5645511/
Abstract

Women with spina bifida present both obstetrical and anesthesia challenges. They are more likely to require a caesarian delivery and traditionally neuraxial anesthesia has been avoided due to concerns of worsening neurologic disability. The case of a pregnant woman with a history of a surgically corrected lipomeningocele and tethered cord is presented to illustrate the need for a comprehensive labor plan.

摘要
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7430/5645511/56bbdb4229e9/fmed-04-00172-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7430/5645511/56bbdb4229e9/fmed-04-00172-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7430/5645511/56bbdb4229e9/fmed-04-00172-g001.jpg

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本文引用的文献

1
Spinal dysraphisms in the parturient: implications for perioperative anaesthetic care and labour analgesia.产妇的脊柱裂：对围手术期麻醉护理和分娩镇痛的影响。
Int J Obstet Anesth. 2015 Aug;24(3):252-63. doi: 10.1016/j.ijoa.2015.04.002. Epub 2015 Apr 18.
2
Reproductive health care for women with spina bifida.脊柱裂女性的生殖健康护理
ScientificWorldJournal. 2007 Nov 26;7:1875-83. doi: 10.1100/tsw.2007.304.
3
Tethered cord syndrome.脊髓栓系综合征
Neurosurg Clin N Am. 2007 Jul;18(3):531-47. doi: 10.1016/j.nec.2007.04.001.
4
Neuraxial anesthesia and analgesia in patients with preexisting central nervous system disorders.患有既往中枢神经系统疾病患者的神经轴索麻醉和镇痛
Anesth Analg. 2006 Jul;103(1):223-8, table of contents. doi: 10.1213/01.ane.0000220896.56427.53.
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Pregnancy outcome and complications in women with spina bifida.脊柱裂女性的妊娠结局及并发症
J Reprod Med. 2000 Sep;45(9):743-8.
6
Central nervous system anomalies associated with meningomyelocele, hydrocephalus, and the Arnold-Chiari malformation: reappraisal of theories regarding the pathogenesis of posterior neural tube closure defects.与脊髓脊膜膨出、脑积水和阿诺德-奇阿利畸形相关的中枢神经系统异常：对后神经管闭合缺陷发病机制相关理论的重新评估
Neurosurgery. 1986 May;18(5):559-64. doi: 10.1227/00006123-198605000-00008.