CESAREAN-SECTION IN A PREGNANT PATIENT WITH AN ANTERIOR MEDIASTINAL MASS AND FAILED SUPRADIAPHRAGMATIC IRRADIATION

被引：15
作者：
MARTIN, WJ
机构：
[1] Department of Anesthesiology, Medical University of South Carolina, Charleston, SC
来源：
JOURNAL OF CLINICAL ANESTHESIA | 1995年 / 7卷 / 04期
关键词：
ANESTHESIA; SPINAL; CONTINUOUS; CESAREAN SECTION; IRRADIATION; MEDIASTINUM; MASS; PREGNANCY;
D O I：
10.1016/0952-8180(95)00003-Z
中图分类号：
R614 [麻醉学];
学科分类号：
100217 ;
摘要：
Nodular sclerosing Hodgkin's disease stages IA and IIA are the most common presentation of this disease during pregnancy. Patients presenting with late Hodgkin's disease with failed irradiation for cesarean section present a unique challenge. When this presentation occurs, a voluntary interruption of pregnancy is recommended. Upper body irradiation during the second trimester of pregnancy is recommended as well. We report a case involving a pregnant patient at 34 weeks' gestation presenting for cesarean section with a symptomatic anterior mediastinal mass occupying over 50% of the thoracic diameter. The anesthetic management was performed using continuous spinal.
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收藏
页码：312 / 315
页数：4
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共 22 条
  • [1] Halpern, Chatten, Meadows, Byrd, Lange, Anterior mediastinal masses: anesthesia hazards and other problems, J Pediatr, 102, pp. 407-410, (1983)
  • [2] Woo, Fuller, Cundiff, Et al., Radiotherapy during pregnancy for clinical stages IA–IIA Hodgkin's disease, Int J Radiat Oncol Biol Phys, 23, pp. 407-412, (1992)
  • [3] Stewart, Monto, Hodgkin's disease and pregnancy, Am J Obstet Gynecol, 63, pp. 570-581, (1952)
  • [4] Becker, Hyman, Management of Hodgkin's disease coexistent with pregnancy, Radiology, 85, pp. 725-728, (1965)
  • [5] Jacobs, Donaldson, Rosenberg, Kaplan, Management of the pregnant patient with Hodgkin's disease, Ann Intern Med, 95, pp. 669-675, (1981)
  • [6] Nisce, Tome, He, Lee, Kutcher, Management of coexisting Hodgkin's disease and pregnancy, Am J Clin Oncol, 9, pp. 146-151, (1986)
  • [7] Tawil, Mercier, Dandavino, Hodgkin's disease complicating pregnancy, J Can Assoc Radiol, 36, pp. 133-137, (1985)
  • [8] Thomas, Biochem, Peckham, The investigation and management of Hodgkin's disease in the pregnant patient, Cancer, 38, pp. 1443-1451, (1976)
  • [9] Piro, Weiss, Hellman, Mediastinal Hodgkin's disease: a possible danger for intubation anesthesia, Int J Radiat Oncol Biol Phys, 1, pp. 415-419, (1976)
  • [10] Mackie, Watson, Anaesthesia and mediastinal masses. A case report and review of the literature, Anaesthesia, 39, pp. 899-903, (1984)
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