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首页> 外文期刊>麻酔 >Anesthesia for a woman with triplet pregnancy presenting with acute abdomen after the recent epidural blood patch
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Anesthesia for a woman with triplet pregnancy presenting with acute abdomen after the recent epidural blood patch

机译：近期硬膜外血液修补术后三胞胎妊娠并出现急腹症的妇女的麻醉

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摘要

We report a case of primipara with triplet pregnancy who underwent combined spinal and epidural anesthesia 10 weeks after epidural blood patch. At 15 weeks of gestation, a woman with triplet gestation underwent Shirodkar operation under spinal anesthesia and subsequent epidural blood patch as a treatment of post-dural puncture headache. At 26 weeks she presented with acute abdomen and laparotomy was scheduled. Spinal anesthesia was selected with an epidural catheter inserted in case of prolonged operation and for postoperative pain control. The placement of an epidural catheter was without problem. Laparotomy revealed right paraovarian cyst torsion and the right salpingo-paraoophocystectomy was performed. Patient-controlled analgesia with epidural bupivacaine and fentanyl was effectively continued for two days. Postoperative course was uneventful and the triplets were delivered by cesarean section at 35 weeks.
机译：我们报道一例三胎妊娠的初产妇在硬膜外补血后10周接受了脊柱和硬膜外联合麻醉。妊娠15周时，一名三重妊娠的妇女在脊髓麻醉下进行Shirodkar手术，随后进行硬膜外补血，以治疗硬膜后穿刺性头痛。在第26周时，她接受了急性腹部手术，并安排了剖腹手术。为了延长手术时间并控制术后疼痛，选择在插入硬膜外导管的情况下进行脊髓麻醉。硬膜外导管的放置没有问题。开腹手术显示右卵巢卵巢囊肿扭转，并进行了右输卵管-副卵囊切除术。硬膜外布比卡因和芬太尼的患者自控镇痛有效持续了两天。术后病情平稳，三周三胎在剖腹产时35周分娩。

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