妊娠合并肺动脉高压患者剖宫产的围麻醉期管理  

Perianaesthesia management of cesarean section in pregnant patients with pulmonary hypertension

作　　者：李文澜[1] 詹丽英[2] 夏中元[1] 江梦[1] LI Wenlan;ZHAN Liying;XIA Zhongyuan;JIANG Meng(Dept.of Anesthesiology,Renmin Hospital of Wuhan University,Wuhan 430060,Hubei,China;Dept.of Critical Care Medicine,Renmin Hospital of Wuhan University,Wuhan 430060,Hubei,China)

机构地区：[1]武汉大学人民医院麻醉科,湖北武汉430060 [2]武汉大学人民医院重症医学科,湖北武汉430060

出　　处：《武汉大学学报（医学版）》2022年第4期586-589,共4页Medical Journal of Wuhan University

摘　　要：目的:探讨妊娠合并肺动脉高压(PH)患者剖宫产术的安全、有效、科学的围麻醉期管理。方法:选择2011年1月—2021年12月于武汉大学人民医院住院治疗、行剖宫产术的18名妊娠合并PH患者为研究对象,对临床资料进行详细地回顾性分析。结果:18例(100%)妊娠合并PH患者安全完成剖宫产手术,4例(22.2%)安全返回病房;14例(77.8%)术后转入ICU进一步治疗,其中1例(5.6%)患者突发心跳骤停后昏迷。术后24 h 17例(94.4%)患者病情稳定。结论:多学科协作诊疗、充分的术前准备、科学的麻醉管理是妊娠合并PH患者围麻醉期的安全保障。Objective:To explore the safe,effective and scientific perianaesthesia anagement of cesarean section in pregnancy with pulmonary hypertension(PH).Methods:From January 2011 to December2021,18 pregnant patients with PH who underwent cesarean section in Renmin Hospital of Wuhan University were selected as the subjects,and the clinical data were analyzed retrospectively in detail.Results:All 18 cases(100%)of pregnancy with PH completed cesarean section safely,and 4 cases(22.2%)returned to ward safely.Fourteen patients(77.8%)were transferred to ICU for further treatment.One patient(5.6%)was in coma after sudden cardiac arrest.The condition of 17 patients(94.4%)was stable 24 hours after operation.Conclusion:Multidisciplinary collaborative diagnosis and treatment,adequate preoperative preparation and scientific anesthesia management are the guarantee of perianaesthesia for pregnancy patients with PH.

关 键 词：妊娠 肺动脉高压 剖宫产 围麻醉期 

分 类 号：R614.1[医药卫生—麻醉学]