北京大学学报(医学版) ›› 2014, Vol. 46 ›› Issue (2): 329-332.

• 病例报告 • 上一篇    下一篇

妊娠合并Ⅺ因子缺乏行剖宫产术的麻醉及围术期处理1例

韩文勇1,2,张龑3△,王继军4 ,伊敏5,李萍6,郑清1,郭向阳1   

  1. (1. 北京大学第三医院麻醉科, 北京100191; 2. 首都医科大学北京电力医院麻醉科, 北京100073; 3. 北京大学第三医院妇产科, 北京100191; 4. 北京大学第三医院血液科, 北京100191; 5. 北京大学第三医院危重医学科, 北京100191; 6. 北京航天总医院麻醉科, 北京100076)
  • 出版日期:2014-04-18 发布日期:2014-04-18

Anesthesia and perioperative management for cesarean section in patient with factor Ⅺ deficiency: a case report

HAN Wen-yong1, 2, ZHANG Yan3△, WANG Ji-jun4, YI Min5, LI Ping6, ZHENG Qing1, GUO Xiang-yang1   

  1. (1. Department of Anesthesiology, Peking University Third Hospital, Beijing 100191, China; 2. Department of Anesthesiology, Capital Medical University Beijing Electric Power Hospital, Beijing 100073, China; 3. Department of Obstetrics and Gynecology, 4. Department of Hematology, 5. Department of Critical Care Unit, Peking University Third Hospital, Beijing 100191, China; 6. Department of Anesthesiology of General Hospital of Beijing Aerospace, Beijing 100076, China)
  • Online:2014-04-18 Published:2014-04-18

关键词: 因子Ⅺ缺乏, 剖宫产术, 麻醉

Abstract: Factor Ⅺ deficiency is a hereditary blood coagulation disorders. Puerpera with factor Ⅺ deficiency is exceedingly rare. A case of a 28-year-old woman who was found to have factor Ⅺ deficiency coagulopathy at the end of 33 weeks of gestation was presented here, and was admitted to Peking University Third Hospital at the end of 38 weeks of gestation. The doctors from several departments conducted cooperative management, and prepared with supplement of the coagulant factor and fresh frozen plasma before operation. The woman had general anesthesia, the baby was delivered successfully and the mother’s condition was kept stable. The amount of bleeding of puerpera was not much perioperation. Yet the management of cesarean section with factor Ⅺ deficiency at home and abroad is still lack of standard guideline by now.

Key words: Factor Ⅺ deficiency, Cesarean section, Anesthesia

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