急诊剖宫产合并妊娠相关组麻醉成功1例:A链球菌脓毒症

Y. Kawatsu, M. Miyazu, T. Kojima
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引用次数: 0

摘要

妊娠相关的A群链球菌(GAS)败血症是一种罕见的、进展迅速、危及生命的疾病。先前的报告描述了妊娠相关GAS败血症的临床特征,然而,关于全身麻醉的证据极其有限。本报告旨在提醒麻醉师,妊娠相关的GAS败血症是一种新出现的危及生命的疾病,并描述在急诊剖腹产进行全身麻醉时的临床问题。我们描述了一例37岁的孕妇,她患有未确诊的妊娠相关GAS败血症,表现出快速、渐进的循环衰竭。谨慎的麻醉管理和顺利过渡到剖宫产,挽救了母亲和婴儿,没有任何并发症。关于妊娠相关GAS败血症的麻醉管理的证据极其缺乏。在病情迅速恶化的情况下,在开始紧急剖宫产之前诊断GAS败血症具有挑战性。麻醉师应考虑妊娠期具有侵袭性脓毒症特征的GAS脓毒症,并为全麻期间的致命术中并发症做好准备。
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Successful anesthesia case of emergency cesarean section complicated with pregnancy-related group: A streptococcus sepsis
Pregnancy-related Group A streptococcus (GAS) sepsis is a rare, rapidly progressing life-threatening disease. Previous reports described the clinical features of pregnancy-related GAS sepsis, however, the evidence regarding general anesthesia is extremely limited. This report aims to alert anesthesiologists that pregnancy-related GAS sepsis is an emerging life-threatening disease and to describe the clinical issues when performing general anesthesia in the emergency cesarian section. We describe the case of a 37-year-old pregnant woman with undiagnosed pregnancy-related GAS sepsis who exhibited rapid, progressive circulatory collapse. Attentive anesthesia management and smooth transition to the cesarean section resulted in saving both the mother and baby without any complications. The evidence regarding anesthesia management in pregnancy-related GAS sepsis is extremely lacking. To make the diagnosis of GAS sepsis before initiating the emergency cesarean section was challenging under rapid deterioration. Anesthesiologists should consider GAS sepsis in pregnancy with aggressive septic features and prepare for the fatal intraoperative complications during general anesthesia.
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发文量
37
审稿时长
29 weeks
期刊最新文献
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