Anesthesia management of caesarean section for pregnant women complicated with Takayasu’s arteritis
10.3969/j.issn.1671-167X.2016.04.035
- VernacularTitle:合并大动脉炎产妇行剖宫产术的围术期管理
- Author:
Jie SUN
;
Hong ZENG
;
Yongqing WANG
;
Yangyu ZHAO
- Publication Type:Journal Article
- Keywords:
Pregnancy complications;
Arteritis;
Cesarean section;
Intraoperative period;
Anesthesia
- From:
Journal of Peking University(Health Sciences)
2016;48(4):743-746
- CountryChina
- Language:Chinese
-
Abstract:
SUMMARY Takayasu’s arteritis is a rare,idiopathic,chronic inflammatory disease.Its course is un-predictable,but slow progression is usual,leading to stenosis,occlusion,or aneurismal degeneration of the aorta or its major branches.We present the anesthesia management of pregnancy in four women ad-mitted to Peking University Third Hospital for caesarean section from year 2006 to 2015 complicated with Takayasu’s arteritis and review this disease with special reference to natural history,diagnostic criteria, classification,prognostic factors,and anesthesia considerations.Anesthesiological data were retrospec-tively analyzed for clinical manifestations,anesthesia process,perioperative complications,and pregnan-cy outcome.One patient received only epidural anesthesia,while the other three patients received com-bined spinal and epidural anesthesia (CSEA).Surgeries for all the four patients were successful with sta-ble vital signs.We found comprehensive examinations including whether the disease was in the active phase and the clinical classification of the disease before conception was recommended for patients diag-nosed with Takayasu’s arteritis.CSEA and continuous epidural block could be both used as anesthesio-logical method in patients with Takayasu’s arteritis.During the surgery,to avoid rapid hemodynamic fluctuations and protect the major organs’function is very essential to allow for a satisfactory outcome.
