一例继发于妊娠剧吐的韦尼克脑病剖宫产的麻醉处理

IF 0.2 Q4 ANESTHESIOLOGY
D. Gahlot, M. Agarwal, M. Budoo, N. Prasad, Kuldeep Singh
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引用次数: 0

摘要

妊娠剧吐继发韦尼克脑病是一种罕见但已知的并发症。诊断和治疗的延误往往会导致长期的神经后遗症。文献中报道了这些患者的重症监护管理,但缺乏剖宫产的麻醉管理。我们报告了一例28岁的产妇,她在怀孕的前三个月出现HG,并得到了保守治疗。后来,她出现了眼球震颤、虚弱和认知功能障碍,并被诊断为继发于HG的WE。考虑到足月妊娠时持续性四肢瘫痪和认知障碍,患者随后被安排进行剖宫产。全身麻醉是首选的麻醉技术。已有神经系统疾病的剖宫产产科患者因其独特的麻醉挑战而成为麻醉师的一个特殊亚群。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Anesthetic management of a parturient with Wernicke's encephalopathy secondary to hyperemesis gravidarum for cesarean section
Wernicke's encephalopathy (WE) secondary to hyperemesis gravidarum (HG) is a rare but a known complication. A delay in diagnosis and treatment often results in long-term neurological sequelae. Critical care management of these patients is reported in the literature, but their anesthetic management for cesarean section is lacking. We report the case of a 28-year-old parturient who presented with HG in the first trimester of pregnancy and was managed conservatively. She later developed nystagmus, weakness, and cognitive dysfunction, and a diagnosis of WE secondary to HG was established. The patient was later posted for cesarean section in view of persistent quadriparesis and cognitive impairment at term gestation. General anesthesia was the preferred anesthesia technique of choice. Obstetric patients with preexisting neurological disease for cesarean section become a special subpopulation for anesthesiologists with their unique anesthetic challenges.
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来源期刊
Indian Anaesthetists Forum
Indian Anaesthetists Forum ANESTHESIOLOGY-
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17
审稿时长
6 weeks
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