Clark A G, al-Qatari M
Department of Anaesthesia, Dalhousie University, Saint John Regional Hospital, Canada.
Can J Anaesth. 1998 Apr;45(4):377-9. doi: 10.1007/BF03012033.
We present a case of Takayasu's Disease (Occlusive Thromboaortopathy-OTAP) in which general anaesthesia was used for Caesarean section with processed encephalographic monitoring to detect cerebral ischaemia.
The patient was a 33-year-old woman in whom OTAP had been the cause of cerebrovascular events. She had the typical pulseless upper body of OTAP and had documented severe bilateral carotid artery stenoses. Regional anaesthesia had failed in the past and she demanded general anaesthesia for Caesarean section. Processed electroencephalography was used to assist in monitoring for signs of cerebral ischaemia and the surgery was uncomplicated.
The use of processed electroencephalographic monitoring allows some assessment of cerebral haemodynamics during general anaesthesia in patients who refuse regional techniques.
我们报告一例高安氏病（闭塞性血栓性主动脉病 - OTAP）患者，该患者剖宫产采用全身麻醉，并进行了处理后脑电图监测以检测脑缺血情况。
患者为一名33岁女性，OTAP是其脑血管事件的病因。她具有OTAP典型的上肢无脉表现，且有双侧颈动脉严重狭窄的记录。既往区域麻醉失败，她要求剖宫产采用全身麻醉。采用处理后脑电图来辅助监测脑缺血迹象，手术过程顺利。
对于拒绝区域麻醉技术的患者，使用处理后脑电图监测可在全身麻醉期间对脑血流动力学进行一定评估。
