General anesthesia for cesarean delivery in a patient with paroxysmal nocturnal hemoglobinuria and thrombocytopenia

被引：4
作者：
Kjaer, K [1 ]
Comerford, M [1 ]
Gadalla, F [1 ]
机构：
[1] Cornell Univ, Weill Cornell Med Ctr, Dept Anesthesiol, New York, NY 10021 USA
来源：
ANESTHESIA AND ANALGESIA | 2004年 / 98卷 / 05期
关键词：
D O I：
10.1213/01.ANE.0000108132.95279.DD
中图分类号：
R614 [麻醉学];
学科分类号：
100217 ;
摘要：
Pregnancy in patients with paroxysmal nocturnal hemoglobinuria (PNH) increases the risk of complement activation, hemolysis, and thrombosis. We describe the anesthetic management of a patient with PNH who underwent general anesthesia for cesarean delivery. Steroids, heparin, and blood products were administered early to minimize the likelihood of a hematologic emergency.
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页码：1471 / 1472
页数：2
相关论文
共 11 条
[1]  
*AM SOC REG AN PAI, REG AN ANT PAT DEF R
[2]   PREGNANCY AND PAROXYSMAL-NOCTURNAL HEMOGLOBINURIA [J].
BAIS, J ;
PEL, M ;
VONDEMBORNE, A ;
VANDERLELIE, H .
EUROPEAN JOURNAL OF OBSTETRICS GYNECOLOGY AND REPRODUCTIVE BIOLOGY, 1994, 53 (03) :211-214
[3]  
BRECHER E, 1989, TRANSFUSION, V29, P683
[4]  
BUISSON M P, 1991, Journal de Gynecologie Obstetrique et biologie de la Reproduction, V20, P83
[5]  
DUNN DE, PAROXYSMAL NOCTURNAL
[6]   The anesthetic management of a patient with paroxysmal nocturnal hemoglobinuria [J].
Kathirvel, S ;
Prakash, A ;
Lokesh, BN ;
Sujatha, P .
ANESTHESIA AND ANALGESIA, 2000, 91 (04) :1029-1031
[7]   Manipulation of the metabolic response in clinical practice [J].
Kehlet, H .
WORLD JOURNAL OF SURGERY, 2000, 24 (06) :690-695
[8]   CHOLECYSTECTOMY IN A PATIENT WITH PAROXYSMAL-NOCTURNAL HEMOGLOBINURIA - ANESTHETIC IMPLICATIONS AND MANAGEMENT IN THE PERIOPERATIVE PERIOD [J].
OGIN, GA .
ANESTHESIOLOGY, 1990, 72 (04) :761-764
[9]  
Ray JG, 2000, HAEMOSTASIS, V30, P103
[10]   Labor analgesia in a patient with paroxysmal nocturnal hemoglobinuria with thrombocytopenia [J].
Stocche, RM ;
Garcia, LV ;
Klamt, JG .
REGIONAL ANESTHESIA AND PAIN MEDICINE, 2001, 26 (01) :79-82
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