- 期刊
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
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 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.
並列摘要
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。