Hopkinson R B, Sutcliffe A J
Anaesthesia. 1979 Feb;34(2):183-6. doi: 10.1111/j.1365-2044.1979.tb06276.x.
Hereditary angioedema (HAE) is characterised by episodic swelling of the extremities, face, larynx and recurrent abdominal pain, which can mimic the acute abdomen. Trauma of the larynx may result in acute airway obstruction. The management of emergency anaesthesia for Caesarean section of a patient with documented HAE is described and the special problems presented discussed. The methods of prophylaxis available are considered and the use of fresh frozen plasma advocated.
遗传性血管性水肿(HAE)的特征为四肢、面部、喉部发作性肿胀以及反复腹痛,后者可酷似急腹症。喉部外伤可能导致急性气道梗阻。本文描述了为一名确诊HAE患者行剖宫产术时的急诊麻醉处理,并讨论了出现的特殊问题。文中考虑了现有的预防方法,并提倡使用新鲜冷冻血浆。