PDF(Pubmed)
Abstract：
With advancement of medicine in the field of diagnostics and treatment of women suffering from certain genetic disorders, more and more women have attained reproductive age and desired fertility. Maintaining pregnancy, as well as bringing it to an end poses a real challenge not only for obstetricians, but also for anesthesiologists involved in the procedure. In our case report, we describe anesthetic management of a female patient suffering from myotonic dystrophy type 2 and suspected von Willebrand\'s disease, and undergoing elective cesarean section. It is acknowledged that both diseases have their own peculiarities and specificities related to anesthesia and require careful consideration when it comes to selecting it. Bearing in mind the advantages and disadvantages of certain types of anesthesia, we believe that in this case, general anesthesia was a better choice compared to the regional techniques of anesthesia.
摘要：
随着医学在诊断和治疗患有某些遗传性疾病的妇女领域的进步，越来越多的妇女达到了生育年龄和理想的生育能力。保持怀孕，以及结束它不仅对产科医生构成了真正的挑战，也适用于参与手术的麻醉师。在我们的案例报告中，我们描述了一名患有2型肌强直性营养不良和疑似血管性血友病的女性患者的麻醉管理，并进行选择性剖宫产。众所周知，这两种疾病都有其与麻醉有关的特殊性和特殊性，在选择麻醉时需要仔细考虑。铭记某些类型的麻醉的优点和缺点，我们认为在这种情况下，与区域麻醉技术相比，全身麻醉是更好的选择。
