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首页> 外文期刊>JA Clinical Reports >Epidural analgesia for the treatment of colic attack with retrocaval ureter in late pregnancy complicated with marginal placenta previa: a case report
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Epidural analgesia for the treatment of colic attack with retrocaval ureter in late pregnancy complicated with marginal placenta previa: a case report

机译：硬膜外镇痛用于晚期妊娠合并边缘性前置胎盘的腹腔镜输尿管绞痛发作的病例报告

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Abstract BackgroundRetrocaval ureter was diagnosed in a woman complaining of ureteric pain in the last trimester of pregnancy. We describe the rationale behind the administration of epidural analgesia for her colic attack.Case presentationA 41-year-old pregnant woman was hospitalized with a diagnosis of a marginal placenta previa at 34?weeks and 5?days of pregnancy. Her right ureter encircled the dorsal aspect of the inferior vena cava (IVC) and was compressed by a growing fetus, causing hydronephrosis. Her right lower back pain was exacerbated every day, till an epidural catheter was inserted. Her estimated glomerular filtration rate (eGFR) and hematocrit worsened, and an elective cesarean section was performed.ConclusionEpidural analgesia only provided pain relief for a few days. When a pregnant woman presents with a retrocaval ureter and severe pain, short-term epidural analgesia should be considered after evaluating the complex medical condition and size of the fetus.
机译：摘要背景一名孕妇在怀孕最后三个月因输尿管疼痛而被诊断出患有回肠输尿管。我们描述了硬膜外镇痛对她的绞痛发作施行硬膜外镇痛的基本原理。病例介绍一名41岁的孕妇在怀孕第34周和第5天被诊断为边缘性前置胎盘而住院。她的右输尿管环绕下腔静脉（IVC）的背侧，并被成长中的胎儿压迫，导致肾积水。她的右下背部疼痛每天都在加剧，直到插入硬膜外导管为止。她的估计肾小球滤过率（eGFR）和血细胞比容恶化，并进行了选择性剖宫产。结论硬膜外镇痛仅能缓解几天的疼痛。当孕妇出现后腔输尿管且疼痛严重时，应在评估复杂的医学状况和胎儿大小后考虑短期硬膜外镇痛。

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