先天性多发性关节挛缩症患者剖宫产的连续脊髓麻醉。一份临床报告。
Continuous spinal anesthesia for cesarean delivery in a patient with arthrogryposis multiplex congenita. A clinical report.
作者信息
Rozkowski A, Smyczek D, Birnbach D J
机构信息
St. Luke's-Roosevelt Hospital Center, College of Physicians and Surgeons of Columbia University, New York, New York 10019, USA.
出版信息
Reg Anesth. 1996 Sep-Oct;21(5):477-9.
BACKGROUND AND OBJECTIVES
Arthrogryposis multiplex congenita (AMC) is a syndrome, diagnosed at birth, which presents with multiple joint contractures. Because this disease often progresses until there is dysfunction of multiple organ systems, it may have an impact on the anesthetic management. There are few anesthetic reports of this disease in the adult pregnant patient.
METHODS
A patient with AMC who underwent elective cesarean delivery with continuous subarachnoid bupivacaine anesthesia.
RESULTS
The patient delivered a healthy infant and recovered uneventfully from the anesthetic with no postoperative complications.
CONCLUSION
Continuous spinal anesthesia can be safely used for cesarean delivery in patients with AMC in the presence of appropriate monitoring.
背景与目的
先天性多发性关节挛缩症（AMC）是一种出生时即被诊断出的综合征，表现为多个关节挛缩。由于这种疾病常持续发展直至多器官系统功能障碍，故可能会对麻醉管理产生影响。关于成年妊娠患者患此病的麻醉报告较少。
方法
一名患有AMC的患者接受了连续蛛网膜下腔布比卡因麻醉下的择期剖宫产手术。
结果
患者产下一名健康婴儿，麻醉恢复顺利，无术后并发症。
结论
在适当监测的情况下，连续脊麻可安全用于患有AMC的患者进行剖宫产手术。
Zotero 插件