<症例>妊婦の脳動脈瘤手術の麻酔管理

概要

論文の詳細を見る
We report our experienced in the anesthetic management during cerebral aneurysm clipping of two women at 26 and 33 weeks of gestation, respectively. Anesthesia was maintained with nitrous oxide and low-dose halothane or isoflurane, as well as fentanyl. Respiratory condition was maintained at slight hypocapnca and systolic blood pressure was maintained at 100-120 mmHg. Ritodrine was used to inhibit uterine contractions. Cesarean section was performed on the patient at 33 weeks of gestation 8 hours following cerebral aneurysm clipping. The clinical course in the other patient after operation was uneventful, and three months later she delivered a healthy baby by a spontaneous delivery. There are many complications, such as aspiration pneumonia, hypotensive anesthesia, hyperventilation, and reaction after the use of beta-sympathomimetic drugs, which affect the survival of the mother and infant. The anesthetic management of pregnant women with cerebral aneurysm is discussed and the literature reviewed.
近畿大学の論文
1992-12-25