Bose D, Yentis S M, Fauvel N J
Department of Anaesthesia, Hammersmith Hospital, London, UK.
Anaesthesia. 1997 Jun;52(6):578-82. doi: 10.1111/j.1365-2222.1997.132-az0128.x.
We describe a 27-year-old primigravida suffering from cystic fibrosis. Her chest was colonised with Burkholderia cepacia and she was in respiratory failure for which she required constant nasal intermittent positive pressure ventilation. In view of her rapid deterioration, Caesarean section was performed under epidural anaesthesia at 25 weeks gestation. A live 790-g boy was delivered. Post-operatively she made steady progress for 5 days although still requiring nasal ventilatory support. Thereafter she developed pneumonia and required tracheal intubation and ventilation on the eighth day. Her increasing hypoxaemia and pulmonary hypertension failed to respond to any therapy including inhaled nitric oxide and she died on the tenth postoperative day.
我们描述了一位患有囊性纤维化的27岁初产妇。她的胸部被洋葱伯克霍尔德菌定植，并且出现了呼吸衰竭，为此她需要持续的经鼻间歇正压通气。鉴于她病情迅速恶化，在妊娠25周时于硬膜外麻醉下进行了剖宫产。分娩出一个体重790克的活男婴。术后她平稳恢复了5天，尽管仍需要经鼻通气支持。此后她在第八天患上肺炎，需要气管插管和通气。她日益加重的低氧血症和肺动脉高压对包括吸入一氧化氮在内的任何治疗均无反应，于术后第十天死亡。
