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題 名 | Anesthetic Management of a Parturient with Eisenmenger's Syndrome and Preeclampsia during Cesarean Section--A Case Report=Eisenmenger's syndrome併發子癲前症的產婦剖腹生產之麻醉處理--病例報告 |
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作 者 | 宋俊松; 張文貴; 鄒美勇; 盧正淵; 林聖瀚; 朱圻鈞; 李德譽; | 書刊名 | 麻醉學雜誌 |
卷 期 | 36:3 1998.09[民87.09] |
頁 次 | 頁159-164 |
分類號 | 417.372 |
關鍵詞 | 子癲前症; 剖腹生產; 全身麻醉; Eisenmenger's syndrome; Pre-eclampsia; Delivery; Cesarean section; Anesthesia; General; |
語 文 | 英文(English) |
中文摘要 | 我們報告一位罹患Eisenmenger's syndrome合併子癲前症與心衰竭之孕婦,接受全 身麻醉進行剖腹生產手術,不幸在縫補子宮切口時發生低血壓與血氧飽和率不足,因嚴重心 肺衰竭且急救無效於術後二小時死亡。這是產科中相當罕見且棘手的病例,由於重度肺動脈 高壓、肺心症及子癲前症等情況,嚴重影響產婦之心肺功能,對其懷孕、生產及手術均造成 非常高的危險。本文除詳細陳述此患者之麻醉過程外,同時探討可能之死因、並將此疾病之 相關文獻一併回顧。 |
英文摘要 | 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 3□ 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. |
本系統中英文摘要資訊取自各篇刊載內容。