Brizgys R V, Shnider S M
Obstet Gynecol. 1984 Sep;64(3 Suppl):44S-46S. doi: 10.1097/00006250-198409001-00011.
The Wolff-Parkinson-White syndrome can complicate the anesthetic management of the pregnant patient. These patients are prone to arrhythmia that can be accompanied by hypotension. Maintenance of a stable heart rhythm is necessary for both maternal and fetal well-being. An optimal anesthetic regimen that provides minimal cardiac and hemodynamic changes has not been determined. Intrathecal administration of opiates for obstetric analgesia has been found to provide hemodynamic stability because no motor or sympathetic blockade occurs. The authors report the successful use of intrathecal injection of morphine for labor analgesia in a patient with Wolff-Parkinson-White syndrome.
预激综合征会使孕妇的麻醉管理复杂化。这些患者容易发生心律失常，并可能伴有低血压。维持稳定的心律对母婴健康都很必要。尚未确定一种能使心脏和血流动力学变化最小的最佳麻醉方案。已发现鞘内注射阿片类药物用于产科镇痛可提供血流动力学稳定性，因为不会发生运动或交感神经阻滞。作者报告了1例预激综合征患者鞘内注射吗啡用于分娩镇痛获得成功。
