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  • 标题:Intraventricular Hemorrhage during Cesarean Section under General Anesthesia: A case report
  • 本地全文:下载
  • 作者:Koo, Hui Wan ; Son, Ji Seon ; Han, Young Jin
  • 期刊名称:Korean Journal of Anesthesiology
  • 印刷版ISSN:2005-6419
  • 出版年度:2006
  • 卷号:51
  • 期号:2
  • 页码:257-260
  • DOI:10.4097/kjae.2006.51.2.257
  • 语种:English
  • 出版社:The Korean Society of Anesthesiologists,
  • 摘要:

    An intracranial hemorrhage is a fatal complication associated with general anesthesia. It can occur in patients with an intracranial aneurysm, hypertension, cerebral vascular malformation, and blood dyscrasia, etc. A sudden hemodynamic change during intubation and extubation in general anesthesia is dangerous, particularly in these patients. We encountered an intraventricular hemorrhage in a 42 year old pregnant woman after a cesarean section. The patient was induced with 300 mg of thiopental and 45 mg of rocuronium. The anesthesia was maintained with N2O/O2 and sevoflurane after endotracheal intubation. Five hours after surgery, the patient had a seizure at the ward. A MRI and CT scan of the brain showed a right intraventricular and basal ganglia hematoma. The CT 3-D brain angiography showed an unruptured small aneurysm on the right posterior communicating artery.

  • 关键词:cesarean section; Cerebral hemorrhage; general anesthesia; Intracranial aneurysm; pregnancy
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