仰臥位低血圧症候群
WordNet
- a pattern of symptoms indicative of some disease
- a complex of concurrent things; "every word has a syndrome of meanings"
- lying face upward (同)resupine
- having abnormally low blood pressure
- a person who has abnormally low blood pressure
PrepTutorEJDIC
- (疾患の徴候となる一群の)症徴候,症候群 / (事件・社会的状態などのパターンを示す)徴候形態
- あおむけに寝た / 怠惰な,無精な
Wikipedia preview
出典(authority):フリー百科事典『ウィキペディア（Wikipedia）』「2013/09/27 03:44:41」(JST)
[Wiki en表示]
Aortocaval compression syndrome, is compression of the abdominal aorta and inferior vena cava by the gravid uterus when a pregnant woman lies on her back, i.e. in the supine position. It is a frequent cause of low maternal blood pressure (hypotension), which can in result in loss of consciousness[1] and in extreme circumstances fetal demise.[2]
Aortocaval compression is thought to be the cause of supine hypotensive syndrome. Supine hypotensive syndrome is characterized by pallor, bradycardia, sweating, nausea, hypotension and dizziness and occurs when a pregnant woman lies on her back and resolves when she is turned on her side.[3]
The Aorta and Inferior Vena Cava are central vessels, the largest artery and vein. They supply blood to the heart, and the rest of the body. Thus, when one is compressed by the weight of the fetus, she may experience signs of shock (sweating, pallor, fast and weak pulse). The best way to prevent or immediately treat this is to place a rolled up towel or wedge under her right hip, so that her central weight is tilted at least fifteen degrees. Giving her water and oxygen and placing cold towels on her forehead will help relieve symptoms of faintness. You should also immediately raise her legs above her head (Trendelenberg position) to increase venous return of blood to her heart, such as in a chair. You should call 911 immediately, as it can be a life-threatening medical emergency.
See also[edit]
- Inferior vena cava syndrome
References[edit]
- ^ Kiefer R, Ploppa A, Dieterich H (2003). "[Aortocaval compression syndrome]". Anaesthesist 52 (11): 1073–83; quiz 1084. PMID 14992095.
- ^ Banaś T, Godula Z, Herman R (2004). "[Aortocaval compression syndrome as an explanation of sudden intrauterine death of mature twins at term. Case report]". Ginekol Pol 75 (8): 633–7. PMID 15517787.
- ^ Sharma S. Shock and Pregnancy. eMedicine.com. URL: http://www.emedicine.com/med/topic3285.htm. Accessed on: March 11, 2007.
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Pathology of pregnancy, childbirth and the puerperium (O, 630–679)
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| Pregnancy |
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Pregnancy with
abortive outcome
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- Ectopic pregnancy
- Abdominal pregnancy
- Cervical pregnancy
- Interstitial pregnancy
- Ovarian pregnancy
- Molar pregnancy
- Miscarriage
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Oedema, proteinuria and
hypertensive disorders
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- Gestational diabetes
- Gestational hypertension
- Pre-eclampsia
- Eclampsia
- HELLP syndrome
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Other, predominantly
related to pregnancy
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Digestive system
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- Acute fatty liver of pregnancy
- Hepatitis E
- Hyperemesis gravidarum
- Intrahepatic cholestasis of pregnancy
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Integumentary system /
dermatoses of pregnancy
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- Gestational pemphigoid
- Impetigo herpetiformis
- Intrahepatic cholestasis of pregnancy
- Linea nigra
- Prurigo gestationis
- Pruritic folliculitis of pregnancy
- Pruritic urticarial papules and plaques of pregnancy (PUPPP)
- Striae gravidarum
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Nervous system
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Blood
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- Gestational thrombocytopenia
- Pregnancy-induced hypercoagulability
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Maternal care related to the
fetus and amniotic cavity
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- amniotic fluid
- Oligohydramnios
- Polyhydramnios
- Braxton Hicks contractions
- chorion / amnion
- Amniotic band syndrome
- Chorioamnionitis
- Chorionic hematoma
- Monoamniotic twins
- Premature rupture of membranes
- Obstetrical hemorrhage
- placenta
- Circumvallate placenta
- Monochorionic twins
- Placenta praevia
- Placental abruption
- Twin-to-twin transfusion syndrome
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| Labor |
- Amniotic fluid embolism
- Cephalopelvic disproportion
- Dystocia
- Fetal distress
- Obstetrical hemorrhage
- placenta
- Preterm birth
- Postmature birth
- Umbilical cord prolapse
- Uterine rupture
- Vasa praevia
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| Puerperal |
- Breastfeeding difficulties
- Agalactia
- Fissure of the nipple
- Galactorrhea
- Diastasis symphysis pubis
- Peripartum cardiomyopathy
- Postpartum depression
- Postpartum thyroiditis
- Puerperal fever
- Puerperal mastitis
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| Other |
- Concomitant conditions
- Diabetes mellitus
- Systemic lupus erythematosus
- Thyroid disorders
- Maternal death
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UpToDate Contents
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English Journal
- Sleep-disordered breathing in pregnancy: a review of the physiology and potential role for positional therapy.
- Morong S, Hermsen B, de Vries N.SourceDepartment of Otolaryngology, Saint Lucas Andreas Hospital, Amsterdam, The Netherlands, sharon.morong@gmail.com.
- Sleep & breathing = Schlaf & Atmung.Sleep Breath.2013 Apr 17. [Epub ahead of print]
- BACKGROUND: Sleep disordered breathing (SDB) has been shown to be associated with negative clinical sequelae such as systemic hypertension and cardiovascular disease. It has been reported in the literature that approximately 53-56 % of patients with obstructive sleep apnea (OSA) have positional OSA
- PMID 23591835
- Supine hypotensive syndrome as the probable cause of both maternal and fetal death.
- De-Giorgio F, Grassi VM, Vetrugno G, d'Aloja E, Pascali VL, Arena V.SourceInstitute of Legal Medicine, Catholic University, Medical School, Rome, Italy. fabio.degiorgio@rm.unicatt.it
- Journal of forensic sciences.J Forensic Sci.2012 Nov;57(6):1646-9. doi: 10.1111/j.1556-4029.2012.02165.x. Epub 2012 Apr 26.
- Supine hypotensive syndrome is characterized by severe supine hypotension in late pregnancy, whose clinical presentation ranges from minimal cardiovascular alterations to severe shock, resulting from inferior vena cava compression by gravid uterus. We report a case of a 41-year-old 39-week-pregnant
- PMID 22537582
- [Hypotension from endocrine origin].
- Vantyghem MC, Douillard C, Balavoine AS.SourceCentre hospitalier régional universitaire de Lille, hôpital Huriez, service d'endocrinologie et maladies métaboliques, 59000 Lille, France. mc-vantyghem@chru-lille.fr
- Presse médicale (Paris, France : 1983).Presse Med.2012 Nov;41(11):1137-50. doi: 10.1016/j.lpm.2012.03.023. Epub 2012 Sep 10.
- Hypotension is defined by a low blood pressure either permanently or only in upright posture (orthostatic hypotension). In contrast to hypertension, there is no threshold defining hypotension. The occurrence of symptoms for systolic and diastolic measurements respectively below 90 and 60 mm Hg estab
- PMID 22975403
Japanese Journal
- 帝王切開時に低血圧から心室性頻拍をきたし, 一児が acidemia を示した双胎妊娠の一例
- 鈴木 志帆,牧野 康男,深澤 祐子,小林 藍子,嶋田 悦子,秋澤 叔香,三谷 穣,松田 義雄,松井 英雄
- 日本周産期・新生児医学会雑誌 = Journal of Japan Society of Perinatal and Neonatal Medicine 48(3), 745-749, 2012-08-30
- NAID 10031048902
- 全身麻酔導入中に生じた巨大肝膿瘍による仰臥位低血圧症候群の1例
- 小出 茂代,逸村 一紀,平林 美穂,大塚 哲郎,古屋 宗孝,國松 輝仁,有坂 博史,吉田 和市
- 日本歯科麻酔学会雑誌 = JOURNAL OF JAPANESE DENTAL SOCIETY OF ANESTHESIOLOGY 33(2), 291-292, 2005-04-15
- NAID 10015524384
- 臨床経験 仰臥位低血圧症候群と胸部硬膜外圧および下肢末梢静脈圧の変動
Related Links
- Supine Hypotensive Syndrome Aortocaval compression syndrome Supine Hypotensive Syndrome: Dizziness and a drop in blood pressure caused when the mother is in a supine position and the weight of the uterus ...
- su·pine hy·po·ten·sive syn·drome in the supine pregnant woman at or near term, maternal hypotension; maternal hypotension is due to obstruction by the gravid uterus of the inferior vena cava with resulting decrease in venous return to ...
★リンクテーブル★
[★]
- supine
- 英
- supine hypotensive syndrome SHS
- 関
- 低血圧
病因
- 静脈還流量の減少 → 心拍出量の減少 → 血圧低下
症状
- 腰部の脊髄くも膜下麻酔(脊椎麻酔)では血圧降下が高度となる
- 頻脈、悪心・嘔吐、冷汗、不安感、多呼吸、顔面蒼白など
治療
[★]
仰臥位低血圧症候群、supine hypotensive syndrome
[★]
- 仰向けの(⇔prone)
- 怠惰な、無精な。受け身の
- 手のひらを上に向けた
- 傾いた
- 関
- dorsal position、face-up position、supine position
[★]
- 関
- antihypertensive、hypotension、low blood pressure
[★]