血管性埃勒-丹洛斯综合征患者剖宫产术中出血的处理:1例报告。

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A&A Practice Pub Date : 2023-01-11 eCollection Date: 2023-01-01 DOI:10.1213/XAA.0000000000001655

Orna Grant, Karen Mulligan, Jennifer Donnelly, Fionnuala Ní Áinle, Róisín Ní Mhuircheartaigh

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引用次数: 0

摘要

患有血管性埃勒-丹洛斯综合征的产妇有特别的出血风险，很少有证据指导这些患者的出血预防或管理。我们提出的情况下，患者血管埃勒斯-丹洛斯综合征谁有剖宫产并发术中出血。去氨加压素和氨甲环酸对止血效果明显。据我们所知，这是在血管性埃勒-丹洛斯综合征的产科大出血中使用去氨加压素的第一份报告。

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Management of Hemorrhage During Cesarean Delivery in a Patient With Vascular Ehlers-Danlos Syndrome: A Case Report.

Parturients with vascular Ehlers-Danlos syndrome are at particular risk of hemorrhage, and there is little evidence to guide prevention or management of hemorrhage in these patients. We present the case of a patient with vascular Ehlers-Danlos syndrome who had a cesarean delivery complicated by an intraoperative hemorrhage. Administration of desmopressin and tranexamic acid appeared to be of marked benefit in achieving hemostasis. To the best of our knowledge, this is the first report of the use of desmopressin during major obstetric hemorrhage in vascular Ehlers-Danlos syndrome.

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来源期刊

A&A Practice ANESTHESIOLOGY-

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期刊介绍： A & A Case Reports, our new online journal publishing Case Reports, related Editorial Commentary, and Correspondence. Anesthesia & Analgesia 1 and Anesthesiology 2 recently announced that they were suspending publication of Case Reports. One reason is that Case Reports typically reduce the Impact Factor of a journal because they are rarely cited. Regardless of the merits of Impact Factor as a metric of journal worth, journals and their editors necessarily consider Impact Factor in strategic planning. At the same time, Case Reports are appreciated by readers for describing “real life” management of difficult or unusual cases not often encountered by practitioners. In a recent issue of Anesthesia & Analgesia, Steven Shafer1 identified many Case Reports whose publication launched productive careers dedicated to solving the puzzle posed by an unusual observation in a single patient.