在产科中优化XI因子缺乏症的麻醉管理:使用ROTEM的病例报告
Asma Ladib1, Jihen Ladib2, Fethi Jebali1
1Department of Anesthesia and Intensive Care B, Center of Maternity and Neonatology of Monastir (CMNM), Fattouma Bourguiba University Hospital, Monastir, Tunisia.
International journal of surgery case reports
|July 13, 2025
概括
旋转型血小板造影仪 (ROTEM) 可以帮助管理XI因子 (FXI) 缺乏症患者的产科麻醉. 本案例研究表明,在中度FXI缺乏症患者中,在剖腹产时安全地进行脊髓麻醉,并得到ROTEM研究结果的支持.
科学领域:
- 产科和妇科 产科和妇科
- 麻醉学 麻醉学
- 血液学 血液学 血液学
背景情况:
- 由于不可预测的出血风险,XI因子 (FXI) 缺乏在产科麻醉中提出了挑战.
- 神经轴麻醉经常被避免,因为担心在FXI缺陷中出现脊髓血瘤.
- 粘弹性测试,就像旋转性血栓弹性测试 (ROTEM) 一样,可以提供功能凝固的见解.
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