Continuous spinal anesthesia with combined hyperbaric and isobaric bupivacaine in a patient with scoliosis.
Continuous spinal anesthesia with combined hyperbaric and isobaric bupivacaine in a patient with scoliosis.
复制标题
对脊柱侧弯患者进行高压和等压布比卡因联合连续脊髓麻醉。
DOI：
10.1097/00132582-199010000-00060
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发表时间：
1990
影响因子：
5.7
通讯作者：
M. Johnson
中科院分区：
文献类型：
--
作者：
D. Moran;M. Johnson
一名31岁的孕妇，1，0产妇手术修复先天性心脏病损和严重脊柱后凸的妇女计划在妊娠39周择期引产。她出生时患有单心室和肺动脉瓣狭窄，随后接受了多次矫正手术，包括连续双侧Blalock-Taussig分流术和改良Fontan手术。后者需要从右心房到肺动脉放置无瓣膜导管，三尖瓣补片闭合，并结扎早期分流。有效地，单心室变成了左心室，右心房-肺动脉压差变成了肺循环的驱动力。入院前1年的心导管检查显示循环动力学正常，包括正常的右心房压力和肺血管阻力。她还患有严重的先天性肥大症
A 31-yr-old gravida 1, para 0 woman with surgically repaired congenital heart lesions and severe kyphoscoliosis was scheduled for elective induction of labor at 39-wk gestation. She was born with a single ventricle and pulmonic valve stenosis and subsequently underwent multiple corrective procedures, including sequential bilateral Blalock-Taussig shunts and a modified Fontan procedure. The latter entailed placement of a valveless conduit from the right atrium to the pulmonary artery, tricuspid valve patch closure, and ligation of the earlier shunts. Effectively, the single ventricle became the left ventricle and the right atrium-pulmonary artery pressure gradient became the driving force for the pulmonary circulation. Cardiac catheterization 1 yr before admission demonstrated normal circulatory dynamics including normal right atrial pressure and pulmonary vascular resistance. She also had severe congenital thora-