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Anesthetic Management for Cesarean Section in a Pregnant Woman with Impending Acute Liver Failure-A Case Report

瀕臨急性肝衰竭産婦之麻醉-病例報告

摘要


急性肝衰竭包含了因肝細胞功能急速惡化所導致的一連串臨床症狀。當産婦被診斷有急性肝衰竭時,常必須進行緊急剖腹産。此時即使肝衰竭的病因不明,麻醉醫師仍必須爲産婦麻醉。以往此類病例報告多半集中於肝臓或産科的問題,文獻中對麻醉方式的探討著墨不多。我們在此提出一位瀕臨急性肝衰竭的産婦,在緊急剖腹産時接受以propofol爲主的全身麻醉病例報告。並討論在此種狀況下不同麻醉方式的優點與缺點。

關鍵字

急性肝衰竭 併發症 産科

並列摘要


Acute liver failure includes a constellation of clinical conditions resulting from rapid loss of hepatocyte function. The anesthesiologist may often be asked to anesthetize a patient with acute liver failure before the etiological entity of disease can be completely clarified. Most of the previous reports were concentrated in obstetric or hepatological periodicals. Reports about anesthesia for such patients are scanty. We present a case about a near term pregnant woman with a complication diagnosed as impending acute liver failure, who received total intravenous anesthesia for emergent cesarean section. Pros and cons of different anesthetic techniques for this condition are discussed.

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