Erol Sara, Arslan Zehra, Celik Isemi Han, Bas Ahmet Yagmur, Demirel Nihal
Department of Neonatal Intensive Care Unit Etlik Zubeyde Hanim Women's Health Education and Research Hospital Ankara Turkey.
J Coll Physicians Surg Pak. 2017 Dec;27(12):783-784.
Methemoglobin (MetHb) is a form of hemoglobin which contains iron in ferric state. The delivery of oxygen to tissues is impaired and cellular hypoxia develops with an increase in MetHb levels. Methemoglobinemia is a rare but potentially lethal complication of local anesthetics. In this clinical brief, three cases of transient neonatal methemoglobinemia, caused by maternal pudendal anesthesia with prilocaine, are reported.
高铁血红蛋白（MetHb）是血红蛋白的一种形式，其中的铁处于三价状态。随着高铁血红蛋白水平的升高，向组织输送氧气的功能受损，进而发生细胞缺氧。高铁血红蛋白血症是局部麻醉剂罕见但可能致命的并发症。在本临床简报中，报告了3例由母亲使用丙胺卡因进行阴部麻醉引起的短暂性新生儿高铁血红蛋白血症病例。
