卵巣過剰刺激症候群に対する持続硬膜外麻酔の効果

概要

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We attempted continuous epidural anesthesia on two patients with severe ovarian hyperstimulation syndrome in whom dopamine therapy was ineffective. An epidural anesthesia flax catheter was inserted between lumbar vertebrae 1 and 2 or thoracic vertebra 9 and 10 and 1% mepivacaine hydrochloride was infused at the rate of 2 ml/hr by means of an Excelfuser^【○!R】. Immediately after the infusion, abdominal swelling and stomachache were reduced. Loss of weight and a reduction in ascitic fluid detected by ultrasonography were seen in both patients. After this treatment the hematocrit value had decreased, caused by the total serum protein increase. Epidural anesthesia increased the blood vessel floor of the lower half of the body and caused ascitic fluid to flow into the blood vessels. These changes may have alleviated the symptoms caused by ovarian hyperstimulation syndrome.
社団法人日本産科婦人科学会の論文
2000-12-01