Alves Barbara, Cunha Filipa, Pereira Cláudia
Anesthesiology, Centro Hospitalar Tondela, Viseu, PRT.
Cureus. 2023 Aug 23;15(8):e43994. doi: 10.7759/cureus.43994. eCollection 2023 Aug.
Although rare, acute pulmonary edema is the most common cause of death in pregnant women with severe hypertension. The authors report a case involving a pregnant woman at 36 weeks of gestation with preeclampsia, who exhibited pulmonary edema and required immediate cesarean delivery. The patient had type 1 respiratory failure and needed supplemental oxygenation with a Venturi mask. The cesarean section was performed successfully under epidural anesthesia. Women with severe preeclampsia and acute pulmonary edema remain a challenge when presented for cesarean delivery, and the best anesthetic option remains controversial.
虽然罕见，但急性肺水肿是重度高血压孕妇最常见的死亡原因。作者报告了一例病例，一名孕36周的子痫前期孕妇出现肺水肿，需要立即剖宫产。患者出现Ⅰ型呼吸衰竭，需要使用文丘里面罩进行辅助给氧。剖宫产在硬膜外麻醉下成功进行。患有重度子痫前期和急性肺水肿的女性在进行剖宫产时仍然是一个挑战，最佳麻醉选择仍存在争议。
