Case Report: Anesthesia for Cesarean Section in Parturients With Chronic Renal Failure Requiring Hemodialysis: Case Reports and Literature Review

被引:1
作者
Zhang, Ting [1 ]
Xiong, Xianwei [1 ]
Jiang, Yiling [1 ]
Chen, Huan [1 ]
Jin, Juying [1 ]
机构
[1] Chongqing Med Univ, Dept Anesthesiol, Affiliated Hosp 1, Chongqing, Peoples R China
来源
FRONTIERS IN SURGERY | 2022年 / 9卷
关键词
Chronic renal failure; cesarean section; anesthesia; hemodialysis; uremia; CHRONIC KIDNEY-DISEASE; PREGNANCY; RISK;
D O I
10.3389/fsurg.2022.848496
中图分类号
R61 [外科手术学];
学科分类号
摘要
Pregnancies are rare in women with chronic renal failure requiring hemodialysis. Although a chance of successful pregnancy and delivery in hemodialysis women has increased over the years, it is still very low, and with high maternal and fetal mortality and morbidity rate compared to normal population. And cesarean section is usually used for delivery. The first case was a 32-year-old Chinese woman with chronic kidney disease stage V undergoing maintenance hemodialysis for six years. The second case was also a 32-year-old patient with a 6-year history of hemodialysis for chronic glomerulonephritis. And due to a history of atrial septal defect and hypertension she received intensive hemodialysis during pregnancy. Both cases were scheduled for cesarean delivery under epidural anesthesia. To help develop reasonable anesthetic methods and management objectives for such patients, we described our anesthetic management and performed a literature search on published cases of cesarean section with chronic renal failure undergoing hemodialysis.
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页数:7
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