极低射血分数产妇下段剖宫产的分级硬膜外麻醉

Graded Epidural Anaesthesia for Lower Segment Cesarean in a Parturient with Very Low Ejection Fraction.

作者信息

Limbu P M, Ghimire A, Trikhatri Y, Agrawal A

机构信息

Department of Anaesthesiolgy and Critical Care Medicine, BP Koirala Institute of Health Sciences, Dharan, Nepal.

Department of Obstetrics and Gynaecology, BP Koirala Institute of Health Sciences, Dharan, Nepal.

出版信息

Kathmandu Univ Med J (KUMJ). 2019 Apr-Jun;17(66):151-153.

PMID:32632066

Abstract

Dilated cardiomyopathy is characterized by left or biventricular dilatation with impaired ventricular contractility. It is associated with systolic dysfunction with decreased left ventricular ejection fraction and congestive progressive heart failure. Anaesthetic management of such condition is very challenging and requires highest level of expertise, strategy and precaution. We present such a case of dilated cardiomyopathy with a very low ejection fraction of 12% who underwent lower segment cesarean section under epidural anaesthesia with successful outcome.

摘要

扩张型心肌病的特征是左心室或双心室扩张，心室收缩功能受损。它与收缩功能障碍相关，伴有左心室射血分数降低和进行性充血性心力衰竭。对这种情况的麻醉管理极具挑战性，需要最高水平的专业知识、策略和预防措施。我们报告了这样一例扩张型心肌病患者，其射血分数极低，仅为12%，在硬膜外麻醉下接受了下段剖宫产手术，结果成功。