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囊性纤维化患者剖宫产的麻醉管理及注意事项

Anesthetic Management and Considerations for Cesarean Delivery in a Patient With Cystic Fibrosis.

作者信息

Pham Richard, Mehdizadeh Chris, Baker Christopher, Soloniuk Leonard J, Pasca Ioana, Sinha Ashish

机构信息

Department of Medicine, University of California Riverside School of Medicine, Riverside, California, USA.

Department of Anesthesiology and Perioperative Medicine, Riverside University Health System, Moreno Valley, California, USA.

出版信息

Case Rep Anesthesiol. 2025 Jan 21;2025:6388254. doi: 10.1155/cria/6388254. eCollection 2025.

Abstract

Recent advancements in therapeutics and risk reduction in the management of cystic fibrosis have increased the life expectancy of cystic fibrosis patients to the fifth decade of life. As the life expectancy of cystic fibrosis patients has increased, more cystic fibrosis patients have opted to pursue pregnancy. Normal pregnancy is accompanied by physiological changes that affect anesthetic management. These normal physiological changes, combined with the pathological manifestations of cystic fibrosis, create a unique set of anesthetic challenges. Here, we report on the management and clinical course of a 37-year-old parturient with cystic fibrosis, focusing on the anesthetic approach.

摘要

近年来,囊性纤维化治疗和风险降低方面的进展已将囊性纤维化患者的预期寿命提高到了五十多岁。随着囊性纤维化患者预期寿命的增加,越来越多的囊性纤维化患者选择怀孕。正常妊娠伴随着影响麻醉管理的生理变化。这些正常的生理变化,再加上囊性纤维化的病理表现,带来了一系列独特的麻醉挑战。在此,我们报告一名37岁患有囊性纤维化的产妇的管理和临床过程,重点关注麻醉方法。

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本文引用的文献

1
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Combined spinal-epidural versus spinal anaesthesia for caesarean section.剖宫产联合脊髓-硬膜外麻醉与脊髓麻醉的比较
Cochrane Database Syst Rev. 2019 Oct 10;10(10):CD008100. doi: 10.1002/14651858.CD008100.pub2.
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