北京大学学报（医学版）2016，Vol.48Issue(4)：743-746,4.DOI:10.3969/j.issn.1671-167X.2016.04.035
合并大动脉炎产妇行剖宫产术的围术期管理
Anesthesia management of caesarean section for pregnant women complicated with Takayasu’s arteritis
孙杰 1曾鸿 1王永清 2赵扬玉2
作者信息
- 1. 北京大学第三医院 麻醉科，北京 100191
- 2. 北京大学第三医院 妇产科，北京 100191
- 折叠
摘要
Abstract
SUMMARY Takayasu’s arteritis is a rare,idiopathic,chronic inflammatory disease.Its course is un-predictable,but slow progression is usual,leading to stenosis,occlusion,or aneurismal degeneration of the aorta or its major branches.We present the anesthesia management of pregnancy in four women ad-mitted to Peking University Third Hospital for caesarean section from year 2006 to 2015 complicated with Takayasu’s arteritis and review this disease with special reference to natural history,diagnostic criteria, classification,prognostic factors,and anesthesia considerations.Anesthesiological data were retrospec-tively analyzed for clinical manifestations,anesthesia process,perioperative complications,and pregnan-cy outcome.One patient received only epidural anesthesia,while the other three patients received com-bined spinal and epidural anesthesia (CSEA).Surgeries for all the four patients were successful with sta-ble vital signs.We found comprehensive examinations including whether the disease was in the active phase and the clinical classification of the disease before conception was recommended for patients diag-nosed with Takayasu’s arteritis.CSEA and continuous epidural block could be both used as anesthesio-logical method in patients with Takayasu’s arteritis.During the surgery,to avoid rapid hemodynamic fluctuations and protect the major organs’function is very essential to allow for a satisfactory outcome.关键词
妊娠并发症/动脉炎/剖宫产术/手术期间/麻醉Key words
Pregnancy complications/Arteritis/Cesarean section/Intraoperative period/Anesthesia分类
医药卫生引用本文复制引用
孙杰,曾鸿,王永清,赵扬玉..合并大动脉炎产妇行剖宫产术的围术期管理[J].北京大学学报（医学版）,2016,48(4):743-746,4.
