艾森曼格综合征患者的麻醉挑战:病例报告

Priya Chandran, Shiril Ashraf, Sheela Verghese
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引用次数: 0

摘要

艾森曼格综合征(Eisenmenger syndrome)是指心脏左向右大分流。8%的先天性心脏病患者会出现这种情况。妊娠有很高的死亡率和早产风险。20-30% 的妊娠会导致自然流产和早产。肺部微栓塞和大栓塞甚至会在分娩后导致围产期产妇死亡。由于分流的病理生理学原因,麻醉处理具有挑战性。我们的病例报告是一例已知患有艾森曼格综合征并伴有慢性血栓栓塞的 27 岁女性病例,她因不可避免的流产而计划在全身麻醉下进行紧急排空。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Anaesthetic challenges in a patient with eisenmenger syndrome: A case report
The term Eisenmenger syndrome describe a large left-to-right cardiac shunt. Occur in 8% of patients with congenital heart disease. Pregnancies carries very high risk of mortality and premature delivery. 20-30% pregnancies result in spontaneous abortion and premature delivery. Pulmonary microembolism and macroembolism have caused peripartum maternal death even after delivery. Anaesthetic management is challenging due to the patho-physiology of the shunt. Our case report is a 27-year-old female known case of Eisenmenger syndrome with chronic thromboembolism presented with inevitable abortion scheduled to undergo emergency evacuation under general anaesthesia.
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