McLure H A, Yentis S M
Magill Department of Anaesthetics, Chelsea and Westminster Hospital, London.
Br J Anaesth. 1996 Nov;77(5):665-8. doi: 10.1093/bja/77.5.665.
We describe the anaesthetic management of a parturient with Noonan's syndrome. Her problems included severe cardiac disease, facial abnormalities and extreme phobia to needles. After intrauterine death at 30 weeks gestation, induction of labour was attempted and extradural analgesia initiated using low-dose bupivacaine. She failed to progress and underwent Caesarean section under general anaesthesia using awake oral fibreoptic intubation.
我们描述了一位患有努南综合征产妇的麻醉管理情况。她的问题包括严重心脏病、面部畸形以及对针头极度恐惧。在妊娠30周时发生宫内死亡后，尝试引产并使用低剂量布比卡因开始硬膜外镇痛。她产程进展不佳，遂在全身麻醉下行剖宫产，采用清醒经口纤维光导插管。
