Kagawa T, Terui K, Gotoh R, Yamada H, Obayashi Y, Kaneko M
Department of Anesthesia, Hyogo Prefectural Awaji Hospital, Sumoto.
Masui. 1996 Feb;45(2):230-4.
A case of a pregnant woman who underwent urgent cesarean section is presented. The patient had severe hyperthyroidism, preeclampsia, and congestive heart failure, which had not been treated until 36 weeks of gestational age. At 38 weeks, fetal distress occurred and an urgent cesarean section was performed successfully under epidural anesthesia with preoperative treatments using iodide, hydrocortisone and propylthiouracil. The patient required postoperative intensive care for heart failure. Thyroid function of the neonate was almost normal. No abnormality was observed except low birth weight.
本文介绍了一例接受紧急剖宫产的孕妇病例。该患者患有严重甲亢、先兆子痫和充血性心力衰竭，直到孕36周都未得到治疗。孕38周时出现胎儿窘迫，在硬膜外麻醉下成功进行了紧急剖宫产，术前使用了碘化物、氢化可的松和丙硫氧嘧啶进行治疗。患者术后因心力衰竭需要重症监护。新生儿甲状腺功能基本正常。除出生体重低外，未观察到其他异常。
