急诊剖宫产术中麻醉过敏性休克：一例病例报告
Anesthetic anaphylactic shock in an emergency cesarean section: a case report.
作者信息
Cao Qi, Zhou Shengping, Chen Hongqin, Zhou Rong
机构信息
Department of Obstetrics and Gynecology, Key Laboratory of Birth Defects and Related Diseases of Women and Children (Sichuan University), West China Second University Hospital, Sichuan University, Chengdu, Sichuan, 610041, P. R. China.
出版信息
BMC Anesthesiol. 2024 Dec 20;24(1):468. doi: 10.1186/s12871-024-02861-7.
BACKGROUND
Neuraxial anesthesia is the gold standard for cesarean sections, but general anesthesia is sometimes necessary, especially in emergency cases. Anaphylactic shock due to succinylcholine, a commonly used neuromuscular blocking agent, is rare but life-threatening.
CASE PRESENTATION
A 42-year-old woman with severe preeclampsia and a history of intracranial vascular malformations underwent an emergency cesarean section. Induction with succinylcholine triggered an anaphylactic shock. Immediate intervention with epinephrine and corticosteroids stabilized the patient, allowing the safe delivery of a live infant.
DISCUSSION AND CONCLUSION
This case highlights the need for rapid identification and management of anaphylactic shock during emergency cesarean sections under general anesthesia, especially in high-risk patients with complex medical histories.
背景
椎管内麻醉是剖宫产的金标准，但有时需要全身麻醉，尤其是在紧急情况下。常用的神经肌肉阻滞剂琥珀胆碱引起的过敏性休克虽罕见但危及生命。
病例介绍
一名42岁患有严重先兆子痫且有颅内血管畸形病史的女性接受了急诊剖宫产。使用琥珀胆碱诱导引发了过敏性休克。立即用肾上腺素和皮质类固醇进行干预使患者病情稳定，得以安全产下一名活婴。
讨论与结论
该病例凸显了在全身麻醉下进行急诊剖宫产时，尤其是对于有复杂病史的高危患者，快速识别和处理过敏性休克的必要性。
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