妊娠患者对局麻药明显获得性耐药:巧合还是新现象?-病例报告

Lalwani Jaya, A. Sashank, Katari Sruthi
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引用次数: 0

摘要

我们报告了一例28岁的孕妇,她曾两次剖宫产,第一次和第二次怀孕时分别有成功和失败的脊柱麻醉史。这一次,尽管排除了技术或药物错误等常见原因,但脊柱麻醉的尝试两次失败。手术最终在全身麻醉下顺利进行。虽然技术因素可能在很大程度上导致脊髓麻醉的失败,但本例中的一系列事件,即一次成功的蛛网膜下腔阻滞,然后间隔三年和七年进行两次不成功的阻滞,有调查证据支持,表明可能存在对局麻药的获得性耐药性。
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Apparent acquired resistance to local anesthetics in a pregnant patient: Coincidence or a novel entity?—A Case report
We present a case of a 28-year-old pregnant patient in labor with two prior cesarean sections with a history of both successful and failed spinal anesthesia in her first and second pregnancies, respectively. This time, attempts at spinal anesthesia failed twice despite ruling out the common causes such as technical or drug error. Surgery was ultimately performed under general anesthesia uneventfully. While technical factors may contribute substantially to failure of spinal anesthesia, the sequence of events in this case, viz. one successful subarachnoid block followed by two unsuccessful ones three and seven years apart, supported by investigative evidence, indicates a possible acquired resistance to local anesthetics.
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37
审稿时长
29 weeks
期刊最新文献
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