系统性红斑狼疮孕妇急诊剖宫产的麻醉处理  

Anesthetic management of emergency caesarian section in pregnancy with SLE

作　　者：林云[1] 周倩[1] 张建成[1] 翁泽林[1] 武庆平[1] 欧阳为相[2] 

机构地区：[1]华中科技大学同济医学院附属协和医院麻醉科,武汉430022 [2]华中科技大学同济医学院附属协和医院妇产科

出　　处：《临床急诊杂志》2013年第7期334-336,共3页Journal of Clinical Emergency

摘　　要：目的:探讨系统性红斑狼疮孕妇急诊剖宫产的麻醉处理。方法:回顾分析17例妊娠合并系统性红斑狼疮患者急诊剖宫产的临床资料。结果:全部患者共17例,13例接受连续硬膜外麻醉,4例接受全身麻醉,麻醉过程多数平稳,产妇15例顺利度过围术期,2例全麻患者经过ICU治疗恢复出院。7例产妇术后发热;1例新生儿出生Apgar评分3～4分,余5minApgar评分正常。结论:硬膜外阻滞麻醉适用于多数系统性红斑狼疮患者急诊剖宫产手术,围术期密切监测狼疮累器官功能、维持呼吸循环稳定,积极防治感染,合理使用激素是确保围产期母婴安全的关键。Objective：Anaesthetic management of emergency Caesarian section in pregnancy with SLE.Method：Analysis of clinical records on 17cases of emergency caesarean section in pregnancy with SLE retrospectively.Result：Of all 17cases,13cases received continuous epidural anesthesia and 4cases received general anesthesia.Majority of cases went through anaesthetics steadily.15cases had uneventfulpuerperium.Two cases of general anaesthesia were discharged after treatment in ICU.Seven cases presented postoperative fever.Apgar score was 3～4in 1 case of newborn,Apgar score was normal in the rest.Conclusion：Epidural anesthesia was appropriate in emergency Caesarian section in pregnancy with SLE.To ensure the safety of mother and newborn,it was critical to monitor the function of SLE-involved organs closely during periperium,maintain stabilization of cardiopulmonary function,prevent and treat infection vigorously,and administer steroid properly.

关 键 词：妊娠 系统性红斑狼疮 急诊剖宫产 麻醉 

分 类 号：R71[医药卫生—妇产科学]