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在高级血流动力学监测下使用低剂量腰麻-硬膜外联合麻醉剖宫产术治疗未经矫正的法洛四联症

Management of an Uncorrected Tetralogy of Fallot for Caesarean Section Using Low-Dose Combined Spinal Epidural Anaesthesia Under Advanced Haemodynamic Monitorization.

作者信息

Camgöz Eryılmaz Nuray, Emmez Gökçen, Keskin Bedirhan, Arabacı Özge, Günaydın Berrin

机构信息

Department of Anaesthesiology and Reanimation, Gazi University Faculty of Medicine, Ankara, Turkey.

出版信息

Turk J Anaesthesiol Reanim. 2022 Aug;50(4):315-317. doi: 10.5152/TJAR.2022.21388.

Abstract

Since management of parturients with uncorrected tetralogy of Fallot reported until now lacks advanced cardiac haemodynamic monitoring, we aimed to present anaesthetic management of a parturient with uncorrected tetralogy of Fallot scheduled for caesarean section by addressing the challenges in the management based on the advanced haemodynamic monitoring due to the expected high-risk maternal morbidity and mortality in this particular case. Hereby, we provided haemodynamic stability with little requirement for vasopressor medication by using low-dose combined spinal epidural anaesthesia in a parturient with uncorrected tetralogy of Fallot scheduled to undergo caesarean delivery.

摘要

由于迄今为止报道的法洛四联症未矫治产妇的管理缺乏先进的心脏血流动力学监测,鉴于该特殊病例预期的高风险孕产妇发病率和死亡率,我们旨在通过基于先进血流动力学监测应对管理中的挑战,介绍一例计划剖宫产的法洛四联症未矫治产妇的麻醉管理。在此,我们对一例计划剖宫产的法洛四联症未矫治产妇采用低剂量腰麻-硬膜外联合麻醉,在几乎不需要血管升压药物的情况下实现了血流动力学稳定。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/13bd/9524431/9bf629d58b7a/tjar-50-4-315_f001.jpg

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