Sung C S, Chang W K, Tsou M Y, Lur J Y, Lin S H, Chu C C, Lee T Y
Department of Anesthesiology, Veterans General Hospital-Taipei, Taiwan, R.O.C.
Acta Anaesthesiol Sin. 1998 Sep;36(3):159-64.
It has been recommended that women with Eisenmenger's syndrome (ES) are better not to become pregnant and pregnancy may justifiably be terminated by artificial abortion to avoid high maternal mortality and coherent fetal mortality. We present a case report about a parturient with ventricular septal defect (VSD) and ES who received general anesthesia for Cesarean section (C/S) because of preeclampsia, as a result of which she finally succumbed to an episode of intraoperative hypotension in spite of vigorous cardiopulmonary resuscitation. The death was thought to be precipitated by continuous deterioration of maternal health during the 3rd trimester of gestation. The anesthetic management of pregnant ES patients in confinement was reviewed and discussed, and the possible etiological factors relevant to the tragic outcome were also explored.
有人建议，患有艾森曼格综合征（ES）的女性最好不要怀孕，为避免高孕产妇死亡率和相应的胎儿死亡率，可合理地通过人工流产终止妊娠。我们报告一例患有室间隔缺损（VSD）和ES的产妇病例，该产妇因先兆子痫接受剖宫产（C/S）全身麻醉，尽管进行了积极的心肺复苏，她最终仍死于术中低血压。死亡原因被认为是妊娠晚期孕产妇健康状况持续恶化所致。本文回顾并讨论了围产期患有ES的孕妇的麻醉管理，并探讨了与这一悲剧结局相关的可能病因。
