Clinical Investigation of Hemodynamic Changes during Anesthesia for Cesarean Section in Patients with Kyphoscoliosis / 대한마취과학회지
Korean Journal of Anesthesiology
;
: 786-791, 1990.
Article
Dans Coréen
| WPRIM
| ID: wpr-59682
ABSTRACT
Kyphoscoliosis is a disease manifested as lateral curvature of spine and accompanying rotation of the vertebrae, resulting in distortion of rib cage. A curve greater than 40 degrees in considerd to be severe and most likely to be associated with physiologic derangements in cardiac and pulmonary function. Restrictive lung disease and pulmonary hypertension progressing to cor pulmonale are the major causes of mortality in patients with kyphoscoliosis. However, pregnancy itself increases cardiac output and circulating blood volume, and decreases total lung capacity due to enlarged uterus. So tidal volume is increased in pregnant women to compensate. But in kyphoscoliosis patients pulmonary fucntion is already impaired and cardiovascular reserve is minimal. So there is increasing tendency in actue cor pulmonale. Recently we experienced a case of cesarean section in patient with kyphoscoliosis, and observed severe hemodynamic changes especially in pulmonary capillary wedge pressure and cardiac output. And we investigated 7 cases of cesarean section of patients with kyposcoliosis.
Texte intégral:
Disponible
Indice:
WPRIM (Pacifique occidental)
Sujet Principal:
Coeur pulmonaire
/
Côtes
/
Rachis
/
Utérus
/
Volume sanguin
/
Débit cardiaque
/
Césarienne
/
Pression artérielle pulmonaire d'occlusion
/
Volume courant
/
Capacité pulmonaire totale
Type d'étude:
Étude pronostique
Limites du sujet:
Femelle
/
Humains
/
Grossesse
langue:
Coréen
Texte intégral:
Korean Journal of Anesthesiology
Année:
1990
Type:
Article
Documents relatifs à ce sujet
MEDLINE
...
LILACS
LIS