脊柱侧弯回并肺动脉高压孕妇剖腹取胎麻醉一例(国外英文资料).docVIP

脊柱侧弯合并肺动脉高压孕妇剖腹取胎麻醉一例(国外英文资料) One example of the combination of the scoliosis is combined with pulmonary hypertension The second hospital of sichuan university in huaxi was anesthesiology jiangxiaoqin 610041 Pregnant women (li hongqiong, the hospital number 236113) produce five times as many of them as in non-pregnancy, so the blood vessel resistance in normal pregnancy decreases by 34 percent. It is extremely rare for pregnant women to have pulmonary hypertension. In September 2007, we had a descending laparotomy of pulmonary hypertension in the spinal side of the spine. Here is the report: Clinical data of 1 Patient, female, 35, 40kg. In order to be admitted to the hospital, the patient was admitted to the hospital for the first month of the fifth month. Preoperative electrocardiogram (ecg) : incomplete right beam block, left room grew up, and the right room grew up. The heart color multiplete ultrasound shows: double room grows, heavy pulmonary arterial pressure (pulmonary artery pressure is about 80mmHg), the left ventricular shoot blood function is normal. Chest X-ray: curvature of the spine, enlarged heart. After admission, he doubled his 6.25 mg Bid, dihydrogram, 25mgQd, and an antisetic 20mg Qd for two days. Enter room examination: general situation is inferior, basically can lie down, the neck vein nu zhang, right lower lung breath sound thick. The heart is slightly larger, the heart rate is 75 beats per cent, P2 is hyperactive, the heart area can smell and diastolic and the lower limb is mildly pitting edema. The blood pressure is 108 over 62mmHg. ECG: the ST segment is removed. Anaesthesia: 1 mg of fentanyl, 2 mg of fentanyl, 2 mg of fentanyl, 4 mg of vikonium bromide, and a smooth intubation. With isoflurane inhalation, fentanyl continuous intravenous infusion to maintain anesthesia, anesthesia effect is better, to maintain blood pressure between 108-120/60-78 MMHG, rhythm of the 70-100 / cent, SPO299-100%. Tidal volume 400 ml/min, breathing frequency 1