Hseu S S, Sung C S, Mao C C, Tsai S K, Lee T Y
Department of Anesthesiology, Veterans General Hospital, Taipei, R.O.C.
Acta Anaesthesiol Sin. 1997 Sep;35(3):161-6.
This case report concerns a successful Cesarean section (C/S) delivery in an expectant woman affected with progressive systemic sclerosis (PSS) with clinical manifestations of severe pulmonary hypertension (PH), cor pulmonale, severely restrictive ventilatory impairment, pregnancy-induced hypertension (PIH), and esophageal dysfunction under general anesthesia (GA). This is an extremely rare condition in obstetrics and the victim is usually in a great peril of conception, delivery, surgery and anesthesia because of poor pulmonary and cardiac reserves. We herewith reported our experience in two GAs given uniquely to the same patient who was affected with the disorder and discuss the problem.
本病例报告涉及一名患有进行性系统性硬化症（PSS）的孕妇，她有严重肺动脉高压（PH）、肺心病、严重限制性通气功能障碍、妊娠高血压（PIH）和食管功能障碍的临床表现，在全身麻醉（GA）下成功进行了剖宫产（C/S）分娩。这在产科中是一种极为罕见的情况，由于肺和心脏储备功能差，患者在受孕、分娩、手术和麻醉过程中通常面临极大风险。我们在此报告了对同一名患有该疾病的患者仅进行两次全身麻醉的经验，并对相关问题进行讨论。
