摘要
报道1例可疑妊娠期心肌病导致心功能不全的患者行择期剖宫产术,由于术中发现胎盘植入大出血,在积极处理大出血的情况下尽力维持循环平稳,避免加重心脏负担,从而保障了患者的良好预后。对麻醉管理的经验与不足进行讨论,以供临床借鉴。
Here we reported a case suffered from cardiac insufficiency due to peripartum cardiomyopathy and elected for caesarean section. During operation, the patient was found to have placenta incerta, and removal of placenta caused massive bleeding. Efforts were made to maintain a stable hemodynamics, and avoid of aggravating heart burden. The critical condition was eventually controlled, and both mother and neonate were discharged from hospital. We provided detailed information about the treatment to share with colleagues in the field.
作者
冯世苗
倪娟
罗东
万里
Feng Shimiao;Ni Juan;Luo Dong;Wan Li(Department of Anesthesiology, West China Second University Hospital, Sichuan University, Chengdu 610041, China;Department of Obstetric, West China Second University Hospital, Sichuan University, Chengdu 610041, Chin;Key Laboratory of Birth Defects and Related Diseases of Women and Children (Sichuan University), Ministry of Education, Chengdu 610041, Chin)
出处
《国际麻醉学与复苏杂志》
CAS
2018年第4期351-353,共3页
International Journal of Anesthesiology and Resuscitation
基金
四川省科技厅应用基础项目(2014YJ0081)
成都市科技惠民项目(2014-HM01-00043-SF)
关键词
心功能不全
孕妇
大出血
麻醉管理
Cardiac insufficiency
Parturient
Massive blood loss
Anesthesia management