Kock-Cordeiro D B M, Brusse E, van den Biggelaar R J M, Eggink A J, van der Marel C D
Department of Intensive Care and Domiciliary Ventilation, Department of Pulmonology, Erasmus MC University Medical Center, Rotterdam, The Netherlands.
Department of Neurology, Erasmus MC University Medical Center, Rotterdam, The Netherlands.
Int J Obstet Anesth. 2018 Nov;36:108-110. doi: 10.1016/j.ijoa.2018.06.001. Epub 2018 Jun 7.
Amyotrophic lateral sclerosis is the most common neurodegenerative upper and lower motor neuron disease in adults but is not common in women of child-bearing age. We present a case of a pregnant woman who was diagnosed with amyotrophic lateral sclerosis and developed respiratory distress at 32 weeks-of-gestation. She underwent a cesarean delivery under combined spinal-epidural anesthesia with non-invasive ventilation. This resulted in a successful outcome for both the mother and the baby.
肌萎缩侧索硬化症是成年人中最常见的神经退行性上、下运动神经元疾病,但在育龄女性中并不常见。我们报告一例孕妇,她被诊断为肌萎缩侧索硬化症,并在妊娠32周时出现呼吸窘迫。她在腰麻-硬膜外联合麻醉下接受了剖宫产,并使用了无创通气。这使得母婴均获得了成功结局。