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一名患有高安动脉炎的非洲患者剖宫产手术成功实施脊髓麻醉。

Successful spinal anaesthesia for caesarean section in an African patient with Takayasu's arteritis.

作者信息

Kassa Mamo Woldu, Benti Tadele Melese, Bedada Alemayehu Ginbo

机构信息

Department of Anaesthesia and Critical Care, University of Botswana, Botswana.

Department of Obstetrics and Gynaecology, University of Botswana, Botswana.

出版信息

Pan Afr Med J. 2018 Aug 20;30:281. doi: 10.11604/pamj.2018.30.281.16182. eCollection 2018.

Abstract

Takayasu's arteritis (TA) is a rare chronic inflammatory disease affecting mainly the aorta and its main branches. We report a case of a 24-year-old primigravida, an African patient, with TA planned for caesarean section at 37 weeks of gestation. Clinically, she has involvement of aortic arch and its branches and abdominal aorta. She underwent caesarean section and delivered an alive baby boy under successful spinal anaesthesia with insignificant complications. Although it is rare in the African continent, anesthesiologists should be up-to-date with the knowledge of perioperative anesthetic management of TA in pregnant cases requiring operative delivery.

摘要

高安动脉炎(TA)是一种罕见的慢性炎症性疾病,主要影响主动脉及其主要分支。我们报告一例24岁初产妇,为非洲患者,患有TA,计划在妊娠37周时行剖宫产。临床上,她的主动脉弓及其分支和腹主动脉均受累。她接受了剖宫产,在成功的脊髓麻醉下产下一名存活男婴,并发症轻微。尽管在非洲大陆这种情况很少见,但麻醉医生应掌握需要手术分娩的TA孕妇围手术期麻醉管理的最新知识。

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本文引用的文献

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Takayasu arteritis in pregnancy.妊娠期大动脉炎
Med J Armed Forces India. 2015 Jul;71(Suppl 1):S227-9. doi: 10.1016/j.mjafi.2014.04.013. Epub 2015 Jan 16.
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Int J Cardiol. 2013 Sep 20;168(1):3-10. doi: 10.1016/j.ijcard.2013.01.022. Epub 2013 Feb 13.
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