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单心室合并二次妊娠产妇全麻剖宫产术1例

汤姗,  程波,  刘丹彦

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文章导航 > 协和医学杂志  > 2020 >  11(6): 774-777
汤姗, 程波, 刘丹彦. 单心室合并二次妊娠产妇全麻剖宫产术1例[J]. 协和医学杂志, 2020, 11(6): 774-777. doi: 10.3969/j.issn.1674-9081.2020.00.010
引用本文: 汤姗, 程波, 刘丹彦. 单心室合并二次妊娠产妇全麻剖宫产术1例[J]. 协和医学杂志, 2020, 11(6): 774-777. doi: 10.3969/j.issn.1674-9081.2020.00.010
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TANG Shan, CHENG Bo, LIU Dan-yan. Cesarean Section under General Anesthesia on a Case of the Second Pregnancy with a Single Ventricle[J]. Medical Journal of Peking Union Medical College Hospital, 2020, 11(6): 774-777. doi: 10.3969/j.issn.1674-9081.2020.00.010
Citation: TANG Shan, CHENG Bo, LIU Dan-yan. Cesarean Section under General Anesthesia on a Case of the Second Pregnancy with a Single Ventricle[J]. Medical Journal of Peking Union Medical College Hospital, 2020, 11(6): 774-777. doi: 10.3969/j.issn.1674-9081.2020.00.010
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单心室合并二次妊娠产妇全麻剖宫产术1例

doi: 10.3969/j.issn.1674-9081.2020.00.010
  • 1.

    武汉大学人民医院麻醉科，武汉 430060

  • 2.

    重庆医科大学附属第一医院麻醉科，重庆 400016

详细信息
    通讯作者:

    刘丹彦  电话：13983916178, E-mail:914465118@qq.com

  • 中图分类号: R719.8；R541.1

Cesarean Section under General Anesthesia on a Case of the Second Pregnancy with a Single Ventricle

  • 1.

    Department of Anesthesia, Renmin Hospital of Wuhan University, Wuhan 430060, China

  • 2.

    Department of Anesthesia, The First Affiliated Hospital of Chongqing Medical University, Chongqing 400016, China

More Information
    Corresponding author: LIU Dan-yan  Tel: 86-13983916178, E-mail:914465118@qq.com

    摘要
  • 摘要: 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。
    Abstract: 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.
    作者贡献:汤姗负责论文撰写，程波提供写作思路及撰稿意见，刘丹彦指导论文修改。
    利益冲突  无
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    • 参考文献(18)
  • [1] Rahimtoola SH, Ongley PA, Swan HJ. The hemodynamics of common (or single) ventricle[J]. Circulation, 1966, 34:14-23. doi:  10.1161/01.CIR.34.1.14
    [2] Liu JY, Tan WK, Tan EL, et al. A case of successfully managed pregnancy in a patient with complex cyanotic congenital heart disease[J]. Obstet Med, 2017, 10:88-92. doi:  10.1177/1753495X16678487
    [3] Dubois L, Belkacem H, Berl M, et al. Single ventricle and obstetric anaesthesia: two cases report[J]. Ann Fr Anesth Rèanim, 2003, 22:50-53. doi:  10.1016/S0750-7658(02)00801-8
    [4] 文怡, 何跃东, 曾蔚越, 等.单心室孕妇足月妊娠剖宫产一例[J].中华妇产科杂志, 2005, 40:880. doi:  10.3760/j.issn:0529-567X.2005.12.026

    Wen Y, He YD, Zeng WY, et al. A case of cesarean section in a single ventricle pregnancy[J]. Zhonghua Fu Chan Ke Za Zhi, 2005, 40:880. doi:  10.3760/j.issn:0529-567X.2005.12.026
    [5] 徐红兵.单心室合并大动脉转位孕妇足月妊娠剖宫产1例[J].重庆医学, 2009, 38:1847. doi:  10.3969/j.issn.1671-8348.2009.14.075

    Xu HB. Cesarean section in a pregnant woman with single ventricle combined with great artery translocation[J]. Chongqing Yi Xue, 2009, 38:1847. doi:  10.3969/j.issn.1671-8348.2009.14.075
    [6] Nilofer AR, Zaki SA. Successful Pregnancy in a Patient with Univentricular Heart and Pulmonary Stenosis[J]. Heart Views, 2012, 13:71-73. doi:  10.4103/1995-705X.99232
    [7] Boukhris M, Hakim K, M'Saad H, et al. Successful pregnancy and delivery in a woman with a single ventricle and Eisenmenger syndrome[J]. J Saudi Heart Assoc, 2013, 25:261-264. doi:  10.1016/j.jsha.2013.05.001
    [8] 王腾科, 李强, 卢家凯, 等.复杂先天性心脏病孕产妇围产期管理的探讨[J].心肺血管病杂志, 2014, 33:517-520. doi:  10.3969/j.issn.1007-5062.2014.04.013

    Wang TK, Li Q, Lu JK, et al. Discussion on perinatal management of complicated congenital heart disease[J]. Xin Fei Xue Guan Bing Za Zhi, 2014, 33:517-520. doi:  10.3969/j.issn.1007-5062.2014.04.013
    [9] Wang K, Luo H, Xin Y, et al. Successful pregnancy and delivery in patients with uncorrected single ventricle: Three new cases and literature review[J]. Int J Cardiol, 2015, 184:135-139. doi:  10.1016/j.ijcard.2015.01.052
    [10] 林燕燕, 陈乐, 韩凤珍.单心房单心室合并妊娠1例报道[J].现代妇产科进展, 2016, 25:915.

    Lin YY, Chen L, Han FZ. Single atrium and single ventricle with pregnancy:a case report[J].Xian Dai Fu Chan Ke Jin Zhan, 2016, 25:915.
    [11] Gu J, Cai Y, Liu B, et al. Anesthetic management for cesarean section in a patient with uncorrected double-outlet right ventricle[J]. Springerplus, 2016, 5:415-418. doi:  10.1186/s40064-016-2075-y
    [12] Zavisca FG, Johnson MD, Holubec JT, et al. General anesthesia for cesarean section in a parturient with a single ventricle and pulmonary atresia[J]. J Clin Anesth, 1993, 5(4):315-320. doi:  10.1016/0952-8180(93)90126-Y
    [13] 赵宏林, 姚亮, 张兴道. 曲前列尼尔治疗肺动脉高压临床疗效的系统评价[J]. 中国循证医学杂志, 2016, 16:212-218. doi:  10.7507/1672-2531.20160033

    Zhao HL, Yao L, Zhang XD. Systematic evaluation of the clinical efficacy of Tralprostadil in the treatment of pulmo-nary hypertension[J]. Zhongguo Xun Zheng Yi Xue Za Zhi, 2016, 16:212-218. doi:  10.7507/1672-2531.20160033
    [14] Eskandr A, Metwally A, Elkassem M A, et al. Dobutamine and Nitroglycerine versus Milrinone for Perioperative Management of Pulmonary Hypertension in Mitral Valve Surgery. A randomized-controlled study[J]. J Cardiothoracic Vasc Anesth, 2018, 32:2540-2546. doi:  10.1053/j.jvca.2018.04.032
    [15] Rabow S, Olofsson P. Pulse wave analysis by digital photoplethysmography to record maternal hemodynamic effects of spinal anesthesia, delivery of the baby, and intravenous oxytocin during cesarean section[J]. J Matern Fetal Neonatal Med, 2017, 30:759-766. doi:  10.1080/14767058.2016.1186162
    [16] 李仁奇, 曾秋婷, 田蜜, 等. 缩宫素对剖宫产产妇术中血流动力学的影响[J]. 临床麻醉学杂志, 2013, 29:362-364.

    Li RQ, Zeng QT, Tian M, et al. Effect of oxytocin on hemodynamics during cesarean section[J]. Lin Chuang Ma Zui Xue Za Zhi, 2013, 29:362-364.
    [17] 冯世苗, 罗东. 缩宫素在艾森曼格综合征剖宫取胎术中的应用1例[J].实用妇产科杂志, 2014, 30:854-855.

    Feng SM, Luo D. Application of oxytocin in cesarean section for Eisenmenger syndrome: a case report[J]. Shi Yong Fu Chan Ke Za Zhi, 2014, 30:854-855.
    [18] Langesaeter E, Dragsund M, Rosseland LA. Regional anaesthesia for a Caesarean section in women with cardiac disease: a prospective study[J]. Acta Anaesthesiol Scand, 2010, 54:46-54. doi:  10.1111/j.1399-6576.2009.02080.x
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出版历程
  • 收稿日期:  2019-05-20
  • 录用日期:  2019-12-28
  • 网络出版日期:  2020-08-11
  • 刊出日期:  2020-11-30

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