fa بیحسی داخل نخاعی با بوپیواکایین جهت جراحی سزارین اورژانسی بیهوشی رژیونال Regional anesthesia گزارش مورد case report <p class="BasicParagraph" style="TEXT-JUSTIFY: inter-ideograph TEXT-ALIGN: justify MARGIN: 0in 0in 0pt mso-hyphenate: none" dir="rtl"><strong><font face="B Nazanin"><font size="2"><span class="a1"><span lang="FA" style="LINE-HEIGHT: 120% LETTER-SPACING: -0.05pt FONT-SIZE: 11pt">مقدمه:</span></span><span class="a"><span lang="FA" style="LINE-HEIGHT: 120% LETTER-SPACING: -0.05pt FONT-SIZE: 11pt"><p></p></span></span></font></font></strong></p><p class="BasicParagraph" style="TEXT-JUSTIFY: inter-ideograph TEXT-ALIGN: justify MARGIN: 0in 0in 0pt mso-hyphenate: none" dir="rtl"><font size="2"><span class="a"><span lang="FA" style="LINE-HEIGHT: 120% LETTER-SPACING: -0.05pt FONT-SIZE: 11pt"><font face="B Nazanin">دیستروفی عضلانی بیکر شبیه دیستروفی عضلانی دوشن است اما تظاهرات بالینی خفیف</font></span></span><span class="a"><span style="LINE-HEIGHT: 120% FONT-FAMILY: "Times New Roman","serif" LETTER-SPACING: -0.05pt FONT-SIZE: 11pt mso-ascii-font-family: 'B Nazanin' mso-hansi-font-family: 'Adobe Hebrew' mso-bidi-font-family: 'B Nazanin'" dir="ltr">‌</span></span><span class="a"><span lang="FA" style="LINE-HEIGHT: 120% LETTER-SPACING: -0.05pt FONT-SIZE: 11pt"><font face="B Nazanin">تر دارد. ما خانم حامله مبتلا به دیستروفی عضلانی بیکر که کاندید سزارین اورژانسی شده است را معرفی می</font></span></span><span class="a"><span style="LINE-HEIGHT: 120% FONT-FAMILY: "Times New Roman","serif" LETTER-SPACING: -0.05pt FONT-SIZE: 11pt mso-ascii-font-family: 'B Nazanin' mso-hansi-font-family: 'Adobe Hebrew' mso-bidi-font-family: 'B Nazanin'" dir="ltr">‌</span></span><span class="a"><span lang="FA" style="LINE-HEIGHT: 120% LETTER-SPACING: -0.05pt FONT-SIZE: 11pt"><font face="B Nazanin">کنیم.<p></p></font></span></span></font></p><p class="BasicParagraph" style="TEXT-JUSTIFY: inter-ideograph TEXT-ALIGN: justify MARGIN: 0in 0in 0pt mso-hyphenate: none" dir="rtl"><span class="a1"><span lang="FA" style="LINE-HEIGHT: 120% LETTER-SPACING: -0.05pt FONT-SIZE: 11pt"><strong><font face="B Nazanin"><font size="2">معرفی بیمار: <p></p></font></font></strong></span></span></p><p class="BasicParagraph" style="TEXT-JUSTIFY: inter-ideograph TEXT-ALIGN: justify MARGIN: 0in 0in 0pt mso-hyphenate: none" dir="rtl"><font size="2"><span class="a"><span lang="FA" style="LINE-HEIGHT: 120% LETTER-SPACING: -0.05pt FONT-SIZE: 11pt"><font face="B Nazanin">خانم 36 ساله با سن حاملگی 31 هفته، با سابقه بیماری دیستروفی عضلانی بیکر و دیسترس جنینی کاندید سزارین اورژانسی شد. بی</font></span></span><span class="a"><span style="LINE-HEIGHT: 120% FONT-FAMILY: "Times New Roman","serif" LETTER-SPACING: -0.05pt FONT-SIZE: 11pt mso-ascii-font-family: 'B Nazanin' mso-hansi-font-family: 'Adobe Hebrew' mso-bidi-font-family: 'B Nazanin'" dir="ltr">‌</span></span><span class="a"><span lang="FA" style="LINE-HEIGHT: 120% LETTER-SPACING: -0.05pt FONT-SIZE: 11pt"><font face="B Nazanin">حسی داخل نخاعی با 12 میلی گرم بوپیواکایین انجام شد. درطول عمل بدلیل کاهش اکسیژن شریانی تحت تهویه غیر تهاجمی با فشار مثبت مداوم راه هوایی (</font></span></span><font face="Times New Roman"><span class="a0"><span style="LINE-HEIGHT: 120% LETTER-SPACING: -0.05pt FONT-SIZE: 11pt" dir="ltr">CPAP</span></span><span dir="rtl"></span><span dir="rtl"></span></font><span class="a"><span lang="FA" style="LINE-HEIGHT: 120% LETTER-SPACING: -0.05pt FONT-SIZE: 11pt"><span dir="rtl"></span><span dir="rtl"></span><font face="B Nazanin">) برابر 10 سانتی متر آب قرار گرفت. در طول عمل و ریکاوری فشار خون و ضربان قلب تغییرات بارزی نداشت.<p></p></font></span></span></font></p><p class="BasicParagraph" style="TEXT-JUSTIFY: inter-ideograph TEXT-ALIGN: justify MARGIN: 0in 0in 0pt mso-hyphenate: none" dir="rtl"><font face="B Nazanin"><font size="2"><span class="a"><b><span lang="FA" style="LINE-HEIGHT: 120% LETTER-SPACING: -0.05pt FONT-SIZE: 11pt">نتیجه:</span></b></span><span class="a"><span lang="FA" style="LINE-HEIGHT: 120% LETTER-SPACING: -0.05pt FONT-SIZE: 11pt"> <p></p></span></span></font></font></p><p class="BasicParagraph" style="TEXT-JUSTIFY: inter-ideograph TEXT-ALIGN: justify MARGIN: 0in 0in 0pt mso-hyphenate: none" dir="rtl"><font size="2"><span class="a"><span lang="FA" style="LINE-HEIGHT: 120% LETTER-SPACING: -0.05pt FONT-SIZE: 11pt"><font face="B Nazanin">ما بی</font></span></span><span class="a"><span style="LINE-HEIGHT: 120% FONT-FAMILY: "Times New Roman","serif" LETTER-SPACING: -0.05pt FONT-SIZE: 11pt mso-ascii-font-family: 'B Nazanin' mso-hansi-font-family: 'Adobe Hebrew' mso-bidi-font-family: 'B Nazanin'" dir="ltr">‌</span></span><span class="a"><span lang="FA" style="LINE-HEIGHT: 120% LETTER-SPACING: -0.05pt FONT-SIZE: 11pt"><font face="B Nazanin">حسی داخل نخاعی با بوپیواکایین برای جراحی سزارین در بیمار مبتلا به دیستروفی عضلانی بیکر را توصیه می</font></span></span><span class="a"><span style="LINE-HEIGHT: 120% FONT-FAMILY: "Times New Roman","serif" LETTER-SPACING: -0.05pt FONT-SIZE: 11pt mso-ascii-font-family: 'B Nazanin' mso-hansi-font-family: 'Adobe Hebrew' mso-bidi-font-family: 'B Nazanin'" dir="ltr">‌</span></span><span class="a"><span lang="FA" style="LINE-HEIGHT: 120% LETTER-SPACING: -0.05pt FONT-SIZE: 11pt"><font face="B Nazanin">کنیم.<p></p></font></span></span></font></p><p align="right"><font size="2"></font></p> <font size="2"><p class="BasicParagraph" style="TEXT-JUSTIFY: inter-ideograph TEXT-ALIGN: justify LINE-HEIGHT: 200% MARGIN: 0in 0in 0pt unicode-bidi: embed DIRECTION: ltr mso-hyphenate: none"><font face="Times New Roman"><span class="abbold"><span style="LINE-HEIGHT: 200% FONT-SIZE: 11.5pt"><strong>Aim and Background: </strong></span></span></font></p><p class="BasicParagraph" style="TEXT-JUSTIFY: inter-ideograph TEXT-ALIGN: justify LINE-HEIGHT: 200% MARGIN: 0in 0in 0pt unicode-bidi: embed DIRECTION: ltr mso-hyphenate: none"><font face="Times New Roman"><span class="abbold"><span style="LINE-HEIGHT: 200% FONT-SIZE: 11.5pt"></span></span><span class="ab"><span style="LINE-HEIGHT: 200% FONT-SIZE: 11pt">Becker’s muscular dystrophy (BMD) is similar to the Duchenne’s muscular dystrophy, but the clinical course is milder.We introduced a patient with Becker Muscle Dystrophy who candidate for emergency cesarean section.<p></p></span></span></font></p><p class="BasicParagraph" style="TEXT-JUSTIFY: inter-ideograph TEXT-ALIGN: justify LINE-HEIGHT: 200% MARGIN: 0in 0in 0pt unicode-bidi: embed DIRECTION: ltr mso-hyphenate: none"><font face="Times New Roman"><span class="abbold"><span style="LINE-HEIGHT: 200% FONT-SIZE: 11.5pt"><strong>Case report:</strong></span></span></font></p><p class="BasicParagraph" style="TEXT-JUSTIFY: inter-ideograph TEXT-ALIGN: justify LINE-HEIGHT: 200% MARGIN: 0in 0in 0pt unicode-bidi: embed DIRECTION: ltr mso-hyphenate: none"><font face="Times New Roman"><span class="ab"><span style="LINE-HEIGHT: 200% FONT-SIZE: 11pt">A36-year-old woman, gestational age 31 weeks, with a history of Becker Muscle Dystrophy and fetal distress who candidate for emergency cesarean section. Spinal anesthesia was performed with bupivacaine 12 mg. During operation non-invasive ventilation with CPAP = 10cmH2O was started due to reduced arterial oxygen saturation. Blood pressure and heart rate did not significantly change during the surgery and recovery.<p></p></span></span></font></p><p class="BasicParagraph" style="TEXT-JUSTIFY: inter-ideograph TEXT-ALIGN: justify LINE-HEIGHT: 200% MARGIN: 0in 0in 0pt unicode-bidi: embed DIRECTION: ltr mso-hyphenate: none"><font face="Times New Roman"><span class="abbold"><span style="LINE-HEIGHT: 200% FONT-SIZE: 11.5pt"><strong>Conclusions:</strong></span></span></font></p><p class="BasicParagraph" style="TEXT-JUSTIFY: inter-ideograph TEXT-ALIGN: justify LINE-HEIGHT: 200% MARGIN: 0in 0in 0pt unicode-bidi: embed DIRECTION: ltr mso-hyphenate: none"><font face="Times New Roman"><span class="ab"><span style="LINE-HEIGHT: 200% FONT-SIZE: 11pt">We recommend spinal anesthesia with bupivacaine for cesarean section in a patient with Becker muscular dystrophy.<p></p></span></span></font></p><p align="left" style="DIRECTION: ltr" ></font> بیحسی داخل نخاعی ، بوپیواکایین ، دیستروفی عضلانی بیکر Spinal anesthesia , Bupivacaine , Becker muscle dystrophy . 73 76 http://jap.iums.ac.ir/browse.php?a_code=A-10-1-14&slc_lang=fa&sid=1 Parviz Amri maleh پرویز امری مله pamrimaleh@yahoo.com 100319475328460010456 100319475328460010456 Yes Babol University of Medical Sciences دانشگاه علوم پزشکی بابل