病例报告：一名截瘫患者剖宫产的麻醉管理
Case Report: Anesthetic Management of Cesarean Section in a Patient With Paraplegia.
作者信息
Su Yongchun, Lei Xiaofeng, Yu Jin
机构信息
Department of Pediatrics, Chongqing YouYouBaoBei Women and Children's Hospital, Chonqing, China.
Department of Anesthesiology, Chongqing Health Center for Women and Children, Chonqing, China.
出版信息
Front Med (Lausanne). 2022 May 11;9:783796. doi: 10.3389/fmed.2022.783796. eCollection 2022.
BACKGROUND
With the advancement of medical science and rehabilitative care, more women with spinal cord injury (SCI) can conceive. However, autonomic hyperreflexia due to SCI complicates anesthesia management during cesarean sections.
CASE PRESENTATION
This study reports the anesthesia management in a woman with paraplegia with a T6 SCI lesion who underwent a cesarean section. It also reviews the anesthesia strategies used in other studies. Spinal anesthesia with a low concentration of ropivacaine was administered along with dexmedetomidine for sedation. Stable hemodynamics were achieved without complications.
CONCLUSIONS
Based on the reported case and literature review, we conclude that the intrathecal block is the preferred choice for women with paraplegia who require cesarean section if the lumbar bone structure allows puncture attempts.
背景
随着医学科学和康复护理的进步，越来越多的脊髓损伤（SCI）女性能够怀孕。然而，SCI导致的自主神经反射亢进使剖宫产术中的麻醉管理变得复杂。
病例报告
本研究报告了一名患有T6 SCI损伤截瘫的女性接受剖宫产术的麻醉管理情况。同时还回顾了其他研究中使用的麻醉策略。使用低浓度罗哌卡因进行脊髓麻醉，并联合右美托咪定用于镇静。实现了稳定的血流动力学且无并发症。
结论
基于报道的病例和文献综述，我们得出结论，如果腰椎骨结构允许进行穿刺尝试，鞘内阻滞是需要剖宫产的截瘫女性的首选麻醉方式。
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