Malinow A M, Ostheimer G W
Obstet Gynecol. 1987 Jun;69(6):951-64.
High-risk pregnancies require specialized obstetric and anesthetic care. A basic understanding of how specific pathophysiology and pharmacologic therapy interact with anesthetic care is essential for both obstetrician and anesthesiologist. This paper selectively focuses on preeclampsia/eclampsia, diabetes mellitus, prematurity, multiple gestations, infectious disease, preexisting neurologic disease, and preexisting cardiac disease, reviewing anesthesia for labor and vaginal and cesarean delivery for each high-risk problem, as practiced at a Level III perinatal unit. Emphasis will be placed, when appropriate, on recent experience with monitoring and aggressive pharmacologic therapy of the critically ill parturient.
高危妊娠需要专业的产科和麻醉护理。对于产科医生和麻醉医生而言，基本了解特定的病理生理学和药物治疗如何与麻醉护理相互作用至关重要。本文有选择地聚焦于子痫前期/子痫、糖尿病、早产、多胎妊娠、传染病、既往神经系统疾病和既往心脏病，回顾了三级围产期单位针对每种高危问题进行分娩、阴道分娩和剖宫产的麻醉情况。在适当的时候，将重点介绍对危重症产妇进行监测和积极药物治疗的最新经验。
