Lenoir B, Freiermuth C, Bonnet A, Marty J
Service d'Anesthésie-Réanimation, Hôpital Beaujon, Clichy.
Ann Fr Anesth Reanim. 1993;12(6):582-6. doi: 10.1016/s0750-7658(05)80626-4.
We present the case of a 25-year-old woman with mitral valve disease and severe pulmonary hypertension scheduled for Caesarean section under general anaesthesia. General anaesthesia for such cardiac patients requires usually high doses of fentanyl prior to intubation, which favours maternal inhalation and neonatal ventilatory depression. Invasive haemodynamic monitoring allowed a rapid sequence induction, with an optimal drug titration and an early recovery.
我们报告一例25岁患有二尖瓣疾病和重度肺动脉高压的女性患者，计划在全身麻醉下行剖宫产术。对于此类心脏病患者，全身麻醉通常需要在插管前使用高剂量芬太尼，这会导致产妇吸入性肺炎和新生儿通气抑制。有创血流动力学监测可实现快速顺序诱导、优化药物滴定并促进早期恢复。
