| 双胎妊娠合并Stanford A型主动脉夹层患者麻醉管理1例 |
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| 引用本文： | 陈超,杨胜凤,王正刚,丁煌,李梦云,冯晓波,郭唐曦,柯剑娟. 双胎妊娠合并Stanford A型主动脉夹层患者麻醉管理1例[J]. 国际麻醉学与复苏杂志, 2019, 40(6): 554-558 |
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| 作者姓名： | 陈超 杨胜凤 王正刚 丁煌 李梦云 冯晓波 郭唐曦 柯剑娟 |
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| 作者单位： | 武汉大学中南医院麻醉科 430071;贵州医科大学附属医院神经外科,贵阳,540004 |
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| 摘 要： | 妊娠合并主动脉夹层是妊娠期罕见的并发症,病情危重、母婴病死率高、麻醉管理难度大。报道1例双胎妊娠合并Stanford A型主动脉夹层患者同期行剖宫产和CPB开胸手术的麻醉和手术经过,为此类患者的麻醉管理提供参考。对于此类患者,术前需充分镇痛并适当控制血压,麻醉诱导力求平稳避免血压剧烈波动导致动脉瘤破裂。术中经食管超声心动图(transesophageal echocardiography, TEE)、BIS、脑局部血氧饱和度(regional cerebral oxygen saturation, SCO2)等监测可以很好地指导麻醉管理,加快患者术后康复。术后多学科合作治疗也是提高母儿生存率的重要手段。
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| 关 键 词： | 妊娠 主动脉夹层 麻醉 经食管超声心动图 |
A case report of anesthesia management of twin pregnancy complicated with Stanford A type of aortic dissection |
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| Chen Chao,Yang Shengfeng,Wang Zhenggang,Ding Huang,Li Mengyun,Feng Xiaobo,Guo Tangxi,Ke Jianjuan. A case report of anesthesia management of twin pregnancy complicated with Stanford A type of aortic dissection[J]. international journal of anesthesiology and resuscitation, 2019, 40(6): 554-558 |
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| Authors: | Chen Chao Yang Shengfeng Wang Zhenggang Ding Huang Li Mengyun Feng Xiaobo Guo Tangxi Ke Jianjuan |
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| Affiliation: | (Department of Anesthesiology, Zhongnan Hospital of Wuhan University, Wuhan 430071, China;Department of Neurosurgery, Affiliated Hospital of Guizhou Medical University, Guiyang 540004, China) |
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| Abstract: | Chen Chao;Yang Shengfeng;Wang Zhenggang;Ding Huang;Li Mengyun;Feng Xiaobo;Guo Tangxi;Ke Jianjuan(Department of Anesthesiology, Zhongnan Hospital of Wuhan University, Wuhan 430071, China;Department of Neurosurgery, Affiliated Hospital of Guizhou Medical University, Guiyang 540004, China) |
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| Keywords: | Pregnancy Aortic dissection Anesthesia Transesophageal echocardiography |
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