Abouleish E, Wiggins M, Ali V
Department of Anesthesiology, University of Texas Health Science Center--Houston, USA.
Acta Anaesthesiol Scand. 1998 Oct;42(9):1120-3. doi: 10.1111/j.1399-6576.1998.tb05388.x.
We present the case of a parturient with moyamoya disease admitted to the hospital for elective cesarean section. Combined spinal and epidural technique was chosen because it allows better analgesia than epidural anesthesia and more hemodynamic stability than either general or spinal anesthesia. Ropivacaine was the local anesthetic of choice for the epidural portion because of the wide sensory-motor dissociation, thus preserving adequate respiration in the case of a high block.
我们报告了一例患有烟雾病的产妇因择期剖宫产入院的病例。选择联合蛛网膜下腔和硬膜外技术，是因为它比硬膜外麻醉能提供更好的镇痛效果，并且比全身麻醉或蛛网膜下腔麻醉具有更高的血流动力学稳定性。罗哌卡因是硬膜外部分的局部麻醉药首选，因为其具有广泛的感觉 - 运动分离特性，因此在发生高位阻滞时能维持充分的呼吸。
