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Anesthetic management of caesarean section of a pregnant woman with cerebral arteriovenous malformation: a case report

机译:孕妇脑动静脉畸形剖​​宫产的麻醉处理:一例报告

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Introduction The choice of anesthetic technique for Caesarean section of a pregnant woman with cerebral arteriovenous malformation (AVM) is made to maintain a stable cardiovascular system, but due to the rarity of this condition, no definitive guidelines exist. Case Presentation We report the case of anesthetic management of Caesarean section of a pregnant woman with cerebral AVM (grade V). After the diagnosis, the radiologists decided to perform angiography and endovascular operation for treatment after the termination of pregnancy. The patient refused to undergo this procedure and with the beginning of the contractions of uterus, she was admitted to hospital urgently at the 40th week of gestational age and Caesarean section under general anesthesia was performed successfully. Conclusion We concluded that in case of emergency, general anesthesia can be used satisfactorily for Caesarean section of a pregnant woman with cerebral AVM. Ensuring optimal maternal and fetal well-being, we are of the opinion that it is also possible to control the arterial blood pressure of patients with general anesthesia.
机译:简介为保持脑动静脉畸形(AVM)的孕妇剖腹产而选择麻醉技术是为了维持稳定的心血管系统,但由于这种情况的罕见性,目前尚无明确的指南。病例介绍我们报告了患有脑AVM(V级)的孕妇剖腹产的麻醉处理情况。诊断后,放射科医生决定在终止妊娠后进行血管造影和血管内手术治疗。该患者拒绝接受此手术,并且随着子宫收缩的开始,她在胎龄的第40周紧急入院,并在全身麻醉下成功进行了剖腹产。结论我们得出结论,在紧急情况下,全脑麻醉可令人满意地用于孕妇脑AVM的剖腹产。为了确保最佳的母婴健康,我们认为也可以控制全麻患者的动脉血压。

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