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Case Report: Successful low-dose spinal anaesthesia for lower segment caesarean section in a patient with Takayasu arteritis

机译:病例报告:高筋动脉炎患者成功进行小剂量脊髓麻醉以进行下段剖腹产

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摘要

Takayasu arteritis is a rare, chronic idiopathic, occlusive inflammation of the aorta and its major branches. It is a rare form of non-specific obliterative panarteritis of unknown aetiology. Anaesthesia for the patient with Takayasu arteritis is complicated by severe uncontrolled hypertension leading to end organ dysfunction, stenosis of major blood vessel affecting regional circulation and difficulties in the monitoring of arterial blood pressure. We report a 26-year-old woman multigravida who was diagnosed with Takayasu arteritis who underwent an emergency caesarean section under spinal anaesthesia. In this case study, the whole course of anaesthesia and operation was uneventful due to thorough systemic evaluation and planned anaesthetic management.
机译:Takayasu动脉炎是主动脉及其主要分支的罕见,慢性特发性闭塞性炎症。它是病因不明的非特异性闭塞性泛动脉炎的罕见形式。高津动脉炎患者的麻醉会伴有严重的无法控制的高血压,从而导致终末器官功能障碍,影响区域循环的主要血管狭窄以及监测动脉血压的困难。我们报告了一名26岁的女性多胎孕妇,她被诊断出患有高麻动脉炎,在脊髓麻醉下接受了紧急剖腹产。在本案例研究中,由于全面的系统评估和计划的麻醉管理,麻醉和手术的整个过程都保持了平稳。

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