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妊娠合并强直性脊柱炎的管理：一例病例报告及文献综述。

Management of pregnancy complicated by ankylosing spondylitis: A case report and literature review.

作者信息

Midorikawa Asumi, Wang Liangcheng, Kuwata Tomoyuki, Taniguchi Yoshie, Horiuchi Isao, Matsushita Chikako, Chikazawa Kenro, Takagi Kenjiro

机构信息

Perinatal and Maternal Center of Saitama Medical Center Jichi Medical University Saitama Japan.

Department of Anesthesia Saitama Medical Center, Jichi Medical University Saitama Japan.

出版信息

Clin Case Rep. 2019 Mar 6;7(4):766-769. doi: 10.1002/ccr3.2085. eCollection 2019 Apr.

DOI:10.1002/ccr3.2085
PMID:30997082
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6452484/
Abstract

Pregnancy complicated by ankylosing spondylitis is rare. Labor assistance and instrumental delivery may be difficult due to hip stiffness. Restriction in lumbar flexion may cause difficulties in administering neuraxial analgesia. Difficult intubation for general anesthesia due to limited neck mobility is another potential risk that must be considered.

摘要

妊娠合并强直性脊柱炎较为罕见。由于髋关节僵硬，分娩辅助和器械助产可能会很困难。腰椎前屈受限可能会给实施椎管内镇痛带来困难。颈部活动受限导致全身麻醉时气管插管困难是另一个必须考虑的潜在风险。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3f8b/6452484/276b095f1047/CCR3-7-766-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3f8b/6452484/5fd30ac78b78/CCR3-7-766-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3f8b/6452484/276b095f1047/CCR3-7-766-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3f8b/6452484/5fd30ac78b78/CCR3-7-766-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3f8b/6452484/276b095f1047/CCR3-7-766-g002.jpg

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本文引用的文献

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Risk for adverse pregnancy outcome in axial spondyloarthritis and rheumatoid arthritis: disease activity matters.轴性脊柱关节炎和类风湿关节炎患者不良妊娠结局的风险：疾病活动度至关重要。
Rheumatology (Oxford). 2018 Jul 1;57(7):1235-1242. doi: 10.1093/rheumatology/key053.
2
Nuchal cord complication in male small for gestational age increases fetal distress risk during labor.男性小于胎龄儿的脐带绕颈并发症会增加分娩期间胎儿窘迫的风险。
Taiwan J Obstet Gynecol. 2016 Aug;55(4):568-74. doi: 10.1016/j.tjog.2016.03.002.
3
Ankylosing Spondylitis and Axial Spondyloarthritis.
强直性脊柱炎与中轴型脊柱关节炎
N Engl J Med. 2016 Jun 30;374(26):2563-74. doi: 10.1056/NEJMra1406182.
4
Increased Conformational Flexibility of HLA-B*27 Subtypes Associated With Ankylosing Spondylitis.与强直性脊柱炎相关的 HLA-B*27 亚型构象灵活性增加。
Arthritis Rheumatol. 2016 May;68(5):1172-82. doi: 10.1002/art.39567.
5
Pregnancy outcomes in patients with ankylosing spondylitis: a nationwide register study.强直性脊柱炎患者的妊娠结局：一项全国性登记研究。
Ann Rheum Dis. 2016 Oct;75(10):1838-42. doi: 10.1136/annrheumdis-2015-207992. Epub 2015 Dec 23.
6
Disease Severity and Pregnancy Outcomes in Women with Rheumatoid Arthritis: Results from the Organization of Teratology Information Specialists Autoimmune Diseases in Pregnancy Project.类风湿关节炎女性的疾病严重程度与妊娠结局：致畸学信息专家组织妊娠期自身免疫性疾病项目的结果
J Rheumatol. 2015 Aug;42(8):1376-82. doi: 10.3899/jrheum.140583. Epub 2015 Apr 15.
7
Catastrophic neurological complications of emergent endotracheal intubation: report of 2 cases.紧急气管插管的灾难性神经并发症：2例报告
J Neurosurg Spine. 2015 May;22(5):454-8. doi: 10.3171/2014.10.SPINE14652. Epub 2015 Feb 27.
8
Global prevalence of ankylosing spondylitis.强直性脊柱炎的全球患病率。
Rheumatology (Oxford). 2014 Apr;53(4):650-7. doi: 10.1093/rheumatology/ket387. Epub 2013 Dec 9.
9
Failed epidural analgesia in a parturient with advanced ankylosing spondylitis: a novel explanation.产妇伴重度强直性脊柱炎行硬膜外镇痛失败：一种新的解释。
Can J Anaesth. 2012 Sep;59(9):871-4. doi: 10.1007/s12630-012-9745-1. Epub 2012 Jul 18.
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Pregnancy and delivery in women with chronic inflammatory arthritides with a specific focus on first birth.慢性炎症性关节炎女性的妊娠与分娩，特别关注初产情况。
Arthritis Rheum. 2011 Jun;63(6):1534-42. doi: 10.1002/art.30210.