剖宫产术致麻醉过敏性休克1例

IF 2.3 3区医学 Q2 ANESTHESIOLOGY BMC Anesthesiology Pub Date : 2024-12-20 DOI:10.1186/s12871-024-02861-7

Qi Cao, Shengping Zhou, Hongqin Chen, Rong Zhou

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引用次数: 0

摘要

背景：轴向麻醉是剖宫产手术的金标准，但有时也需要全身麻醉，特别是在急诊病例中。琥珀胆碱（一种常用的神经肌肉阻滞剂）引起的过敏性休克很少见，但会危及生命。病例介绍：一名患有严重子痫前期和颅内血管畸形史的42岁女性接受了紧急剖宫产手术。琥珀胆碱诱导引起过敏性休克。立即使用肾上腺素和皮质类固醇进行干预，稳定了患者，使活婴安全分娩。讨论与结论：本病例强调了在全麻下紧急剖宫产术中快速识别和处理过敏性休克的必要性，特别是对于有复杂病史的高危患者。

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Anesthetic anaphylactic shock in an emergency cesarean section: a case report.

Background: Neuraxial anesthesia is the gold standard for cesarean sections, but general anesthesia is sometimes necessary, especially in emergency cases. Anaphylactic shock due to succinylcholine, a commonly used neuromuscular blocking agent, is rare but life-threatening.

Case presentation: A 42-year-old woman with severe preeclampsia and a history of intracranial vascular malformations underwent an emergency cesarean section. Induction with succinylcholine triggered an anaphylactic shock. Immediate intervention with epinephrine and corticosteroids stabilized the patient, allowing the safe delivery of a live infant.

Discussion and conclusion: This case highlights the need for rapid identification and management of anaphylactic shock during emergency cesarean sections under general anesthesia, especially in high-risk patients with complex medical histories.

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来源期刊

BMC Anesthesiology ANESTHESIOLOGY-

CiteScore

3.50

自引率

4.50%

发文量

349

审稿时长

>12 weeks

期刊介绍： BMC Anesthesiology is an open access, peer-reviewed journal that considers articles on all aspects of anesthesiology, critical care, perioperative care and pain management, including clinical and experimental research into anesthetic mechanisms, administration and efficacy, technology and monitoring, and associated economic issues.