一名患有复合肠道阻塞的孕妇在资源有限的环境中使用胸部外周麻醉作为单一麻醉:一个案例报告
Mesay Milkias Wonte1, Abere Tilahun Bantie2,3, Muhiddin Tadesse4
1Department of Anesthesiology, Dilla University College of Health Science and Medicine, PO. BOX: 419/13, Dilla, Ethiopia. milikiasssi@gmail.com.
Journal of medical case reports
|June 4, 2023
概括
本案例报告详细介绍了一名患有肠道阻塞的孕妇的清醒腹腔切除术,通过胸部外围麻醉成功进行了管理,确保了优秀的孕产妇和胎儿结果.
科学领域:
- 产科和妇科 产科和妇科
- 麻醉学 麻醉学
- 手术病例报告 手术病例报告
背景情况:
- 接受非产科手术的产科患者的管理优先考虑母亲的安全,怀孕的维持和最佳的胎儿结果.
- 由于麻醉和手术程序对胎儿的潜在影响,怀孕期间的紧急手术是有限的.
- 综合性肠道阻塞在怀孕期间是罕见的,特别是在第三个三个月.
研究的目的:
- 报告一个独特的病例,一个怀孕的患者在重大腹部手术中进行了清醒腹腔切除术.
- 为突出成功地使用胸部外周麻醉作为唯一的麻醉技术.
- 在复杂的产科手术场景中证明出色的胎儿-母亲结果.
主要方法:
- 一个怀孕的患者在她的第三个三个月呈现大肠阻塞的症状.
- 患者接受了紧急腹腔切除术手术.
- 胸腔外围麻醉在清醒手术期间被用作唯一的麻醉管理.
主要成果:
- 醒着的腹腔切除手术在胸部外周麻醉下成功进行.
- 患者经历了一个优秀的胎儿-母亲结局.
- 这代表了怀孕期间主要腹部手术的新方法.
结论:
- 多学科团队方法对于高风险产科外科病例的最佳护理至关重要.
- 区域麻醉,特别是胸部外周麻醉,可以是一个安全有效的选择,主要的腹部手术在孕妇患者.
- 胸部外周麻醉是高风险患者在资源有限的环境中可行的替代麻醉选择,可能减少与全身麻醉相关的术后不良事件.
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