因因子XI缺乏症进行产科镇痛而阻断脊柱勃起肌：以一个病例为目的

IF 0.9 Q3 ANESTHESIOLOGY

Revista Espanola de Anestesiologia y Reanimacion Pub Date : 2025-04-01 DOI:10.1016/j.redar.2024.03.010

P. Martín Serrano , A. Ferraz Pérez , C. Medina Hernández , V. Prieto Hidalgo

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引用次数: 0

摘要

因子XI （FXI）缺乏是一种罕见的出血性疾病，其特征是FXI的定量或定性缺乏。症状是高度可变的，出血的严重程度和部位是不可预测的，并不一定与FXI水平相关。FXI缺乏症根据临床表现分为出血型或不出血型。我们提出的情况下，一名妇女在她的二十多岁诊断为FXI与出血表型。患者要求分娩镇痛，但血液科禁止轴向技术，考虑到她的病史。超声引导腰椎竖立者脊柱平面阻滞（ESPB）， 45分钟后疼痛缓解。当神经轴镇痛在分娩中是禁忌时，ESP阻滞可以作为一种选择。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Bloqueo del músculo erector de la espina para analgesia obstétrica en el déficit de Factor XI: a propósito de un caso

Factor XI (FXI) deficiency is a rare bleeding disorder characterized by a quantitative or qualitative deficiency of FXI. The symptoms are highly variable, and the severity and site of bleeding is unpredictable and does not necessarily correlate with FXI levels. FXI deficiency is classified by phenotype: bleeding or non-bleeding, depending on the clinical manifestations.

We present the case of a woman in her twenties diagnosed with FXI with a bleeding phenotype. The patient requested labour analgesia, but the haematology department contraindicated neuraxial techniques, given her history. An ultrasound-guided lumbar erector spinae plane block (ESPB) was performed, achieving pain relief after 45 minutes.

ESP block could be an alternative to consider when neuraxial analgesia is contraindicated in labour.

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