Hellp sendromu ve spinal anestezi (Olgu sunumu)
HELLP Sendromu hemoliz, karaciğer enzimlerinde yükselme ve trombosit sayısında azalma ile karakterize bir klinik tablodur. Ciddi fetal ve maternal morbidite ve mortaliteye neden olabilir. Tedavide doğumun bir an önce gerçekleştirilmesi önemlidir. Bu makalede, acil sezaryen endikasyonu konulan, trombositopenisi olan, karaciğer enzimleri yüksek, hipertansif, tok, 35-36 haftalık bir gebede 10 mg hiperbarik bupivakain ve 0.2 mg morfin ile uygulanan spinal anestezi sunuldu. Trombositopeni dışında, diğer koagülasyon testleri normal ve klinik olarak kanama bulgusu olmayan gebelerde, ince iğneler ile sorunsuz spinal anestezi uygulanabileceği görüşündeyiz.
Hellp syndrome and spinal anesthesia (Case report)
HELLP syndrome is characterized by hemolysis, elevated liver enzymes and thrombocytopenia. It may cause serious maternal and fetal morbidity and mortality. In management, prompt delivery of the patient is very important. This case report discusses a patient in her 35-36"1 week of pregnancy with elevated liver enzymes, thrombocytopenia, hypertension and a full stomach. An emergency cesarean section was indicated and the procedure was performed with spinal anaesthesia using 10 mg hyperbaric bupivacaine and 0.2 mg morphine sulphate. It was concluded that spinal anesthesia can be performed in patients with throm¬bocytopenia provided that other coagulation parameters are normal and there are no signs of bleeding.
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