PDF(Pubmed)
Abstract：
Peripartum cardiomyopathy (PPCM) is an uncommon disorder of the cardiovascular system and is linked to high rates of morbidity and mortality. It is an idiopathic condition characterized by left ventricular systolic dysfunction with an ejection fraction of approximately 45% near the end of pregnancy or immediately after delivery. Anesthesia management in these women is challenging due to low physiological reserve and potential negative effects on the fetus. To ensure that mother and child are supported safely through delivery, careful anesthesia control is required. Here, in this review article, we discuss the anesthetic implications in preoperative, operative, and postoperative phases in women with perioperative cardiomyopathy undergoing vaginal delivery or cesarean section.
摘要：
围产期心肌病（PPCM）是一种罕见的心血管系统疾病，与高发病率和死亡率有关。这是一种特发性疾病，其特征在于左心室收缩功能障碍，在怀孕结束时或分娩后立即射血分数约为45％。由于低生理储备和对胎儿的潜在负面影响，这些女性的麻醉管理具有挑战性。为了确保母亲和孩子在分娩过程中得到安全支持，需要仔细的麻醉控制。这里,在这篇评论文章中，我们讨论术前麻醉的意义，Operative,围手术期心肌病经阴道分娩或剖宫产的妇女的术后阶段。
