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在剖宫产术中,为一名近期诊断为肌萎缩侧索硬化症的女性实施腰麻-硬膜外联合麻醉并给予无创通气。

Combined spinal-epidural anesthesia with non-invasive ventilation during cesarean delivery of a woman with a recent diagnosis of amyotrophic lateral sclerosis.

作者信息

Kock-Cordeiro D B M, Brusse E, van den Biggelaar R J M, Eggink A J, van der Marel C D

机构信息

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.

出版信息

Int J Obstet Anesth. 2018 Nov;36:108-110. doi: 10.1016/j.ijoa.2018.06.001. Epub 2018 Jun 7.

DOI:10.1016/j.ijoa.2018.06.001
PMID:30017643
Abstract

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.

摘要

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。

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