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一例成骨不全妊娠患者剖宫产的麻醉考量：病例报告

The anesthetic consideration of a gravid patient with osteogenesis imperfecta undergoing cesarean section: A case report.

作者信息

Hu Tao, Chen Tao, Luo Lin, Zhou Ying, Zhang Yu, Fu Qiang

机构信息

Department of Anesthesiology, Third People's Hospital of Chengdu Southwest Jiaotong University Chengdu China.

出版信息

Clin Case Rep. 2023 Apr 7;11(4):e7179. doi: 10.1002/ccr3.7179. eCollection 2023 Apr.

DOI:10.1002/ccr3.7179
PMID:37038532
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10082349/
Abstract

Osteogenesis imperfecta (OI) is a rare disorder of bone fragility. Gravid patients with OI usually need cesarean and may present multiple challenges. We present a case of an OI patient with severe scoliosis and an anticipated difficult airway undergoing cesarean section, with details on perioperative assessment and strategy of anesthesia.

摘要

成骨不全症（OI）是一种罕见的骨脆性疾病。患有OI的孕妇通常需要剖宫产，并且可能面临多种挑战。我们报告一例患有严重脊柱侧弯且预计气道困难的OI患者接受剖宫产的病例，并详细介绍围手术期评估和麻醉策略。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9731/10082349/c717443964ea/CCR3-11-e7179-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9731/10082349/59b1e7ca86d2/CCR3-11-e7179-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9731/10082349/c717443964ea/CCR3-11-e7179-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9731/10082349/59b1e7ca86d2/CCR3-11-e7179-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9731/10082349/c717443964ea/CCR3-11-e7179-g002.jpg

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本文引用的文献

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2
Canadian Airway Focus Group updated consensus-based recommendations for management of the difficult airway: part 2. Planning and implementing safe management of the patient with an anticipated difficult airway.加拿大气道焦点小组更新了基于共识的困难气道管理推荐意见：第 2 部分。计划和实施对预计存在困难气道的患者进行安全管理。
Can J Anaesth. 2021 Sep;68(9):1405-1436. doi: 10.1007/s12630-021-02008-z. Epub 2021 Jun 8.
3
Pregnancy in women with osteogenesis imperfecta: pregnancy characteristics, maternal, and neonatal outcomes.
成骨不全症女性的妊娠：妊娠特征、母婴及新生儿结局。
Am J Obstet Gynecol MFM. 2021 Jul;3(4):100362. doi: 10.1016/j.ajogmf.2021.100362. Epub 2021 Mar 26.
4
Osteogenesis imperfecta: an update on clinical features and therapies.成骨不全症：临床特征和治疗方法的最新进展。
Eur J Endocrinol. 2020 Oct;183(4):R95-R106. doi: 10.1530/EJE-20-0299.
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Anticipated difficult airway during obstetric general anaesthesia: narrative literature review and management recommendations.产科全身麻醉期间预计的困难气道：叙述性文献回顾和管理建议。
Anaesthesia. 2020 Jul;75(7):945-961. doi: 10.1111/anae.15007. Epub 2020 Mar 6.
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Osteogenesis imperfecta: advancements in genetics and treatment.成骨不全症：遗传学和治疗的进展。
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