Yağmur Demirel, Sevgi Kesici, Celal Kaya, Sibel Oba, Hacer Şebnem Türk
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引用次数: 0

摘要

戊二酸尿症 1 型(GA-1)给麻醉师带来了独特的挑战。本病例报告讨论了一名患有 GA-1 的孕妇进行剖宫产时的麻醉管理。基于对潜在并发症的谨慎考虑,本病例选择了脊柱硬膜外联合麻醉。维持正常血糖、正常体温、低蛋白饮食、补充肉碱和适当的水合作用被列为优先事项。婴儿健康出生,无并发症。本病例强调了全面的术前评估和个体化麻醉策略对于 GA-1 孕妇患者获得最佳预后的重要性。谨慎处理麻醉相关风险对于确保患者安全和减少应激反应非常重要。在特殊情况下,神经麻醉和镇痛可能会有优势。
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Anaesthesia Management of a Pregnant Woman with Glutaric Aciduria Type 1 Undergoing Cesarean Section.

Glutaric aciduria type 1 (GA-1) presents unique challenges for anaesthetists. This case report discusses anaesthesia management in a pregnant woman with GA-1 undergoing cesarean delivery. Based on a cautious consideration of potential complications, combined spinal-epidural anaesthesia was preferred in this case. Maintenance of normoglycemia, normothermia, low-protein diet, carnitine supplementation, and proper hydration were prioritized. A healthy baby was delivered without complications. This case underscores the importance of comprehensive preoperative assessment and individualized anaesthesia strategies for achieving optimal outcomes in pregnant patients with GA-1. The cautious management of anaesthesia-related risks is important to ensure patient safety and decrease stress responses. Neuraxial anaesthesia and analgesia may be advantageous in specific cases.

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