协和医学杂志

2020, (06) 774-777

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单心室合并二次妊娠产妇全麻剖宫产术1例
Cesarean Section under General Anesthesia on a Case of the Second Pregnancy with a Single Ventricle

汤姗;程波;刘丹彦;
TANG Shan;CHENG Bo;LIU Dan-yan;Department of Anesthesia, Renmin Hospital of Wuhan University;Department of Anesthesia, The First Affiliated Hospital of Chongqing Medical University;

摘要(Abstract):

未经治疗的单心室畸形患者存活率低,合并妊娠者罕见,目前仅见个案报道。本例患者为未经治疗的复杂先天性心脏病合并二次妊娠产妇,一般情况极差,围手术期死亡风险较高,经多学科团队共同协作,该患者顺利在全麻下进行了剖宫产手术。本文主要剖析该类患者麻醉方式的选择及围手术期管理,以期为临床诊治提供参考。
Patients with an uncorrectable single ventricle have a low survival rate. It is rare to see such patients of pregnancy, which has been reported with several cases. This univentricular patient of the second pregnancy with poorly generally condition has high mortality. Thanks to the cooperation of multidisciplinary team, the patient successfully underwent a cesarean section under general anesthesia. For providing some guidance to the clinical work, we will discuss our choice of anesthetic method and the management of general anesthesia on this patient.

关键词(KeyWords): 单心室;妊娠;肺动脉高压;全麻
single ventricle;pregnancy;pulmonary hypertension;general anesthesia

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作者(Author): 汤姗;程波;刘丹彦;
TANG Shan;CHENG Bo;LIU Dan-yan;Department of Anesthesia, Renmin Hospital of Wuhan University;Department of Anesthesia, The First Affiliated Hospital of Chongqing Medical University;

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