Obstetrics and gynecology · 2001
Inhaled nitric oxide for primary pulmonary hypertension in pregnancy.
Клинический случайСтатьяНазвание и аннотация: Перевод в очереди
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Lam G K, Stafford R E, Thorp J, Moise K J, Cairns B A
Аннотация
BACKGROUND: Primary pulmonary hypertension is a rare and dangerous entity in pregnancy. Previous studies have found a 35-50% maternal mortality rate in the peripartum period. To date, most reports have described treatment of these patients with diuretics, digoxin, and calcium-channel blockers.
CASE: We describe the successful treatment of a primigravida with severe primary pulmonary hypertension. We used elective intubation before labor, inhaled nitric oxide therapy, and assisted vaginal delivery with epidural anesthesia that resulted in a viable infant and survival of the mother.
CONCLUSION: Nitric oxide can be used to successfully treat primary pulmonary hypertension in pregnancy.
CASE: We describe the successful treatment of a primigravida with severe primary pulmonary hypertension. We used elective intubation before labor, inhaled nitric oxide therapy, and assisted vaginal delivery with epidural anesthesia that resulted in a viable infant and survival of the mother.
CONCLUSION: Nitric oxide can be used to successfully treat primary pulmonary hypertension in pregnancy.