PULMONARY-EDEMA IN 2 PARTURIENTS WITH HYPERTROPHIC OBSTRUCTIVE CARDIOMYOPATHY (HOCM)

被引:25
作者
TESSLER, MJ [1 ]
NAUGLERCOLVILLE, MA [1 ]
机构
[1] ST BONIFACE GEN HOSP,DEPT ANAESTHESIA,WINNIPEG R2H 2A6,MANITOBA,CANADA
来源
CANADIAN JOURNAL OF ANAESTHESIA-JOURNAL CANADIEN D ANESTHESIE | 1990年 / 37卷 / 04期
关键词
Anaesthesia: obstetric; Complications: pulmonary oedema; Heart:; cardiomyopathy; hypertrophic obstructive;
D O I
10.1007/BF03005629
中图分类号
R614 [麻醉学];
学科分类号
100217 ;
摘要
Two patients with hypertrophic obstructive cardiomyopathy (HOCM) presented for delivery. The first had a repeat Caesarean section with general anaesthesia and the second gave birth vaginally with epidural analgesia. Both patients developed pulmonary oedema in the peripartum period. These cases highlight the delicate fluid requirements of the pregnant patient with HOCM. The fluid management of the parturient is discussed with particular emphasis on the pathophysiology of HOCM. The indications for invasive monitoring are presented. © 1990 Canadian Anesthesiologists.
引用
收藏
页码:469 / 473
页数:5
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