Sjögren Sendromlu Gebe Hastada Anestezik Yaklaşım: Olgu Sunumu

Year 2016, Volume: 13 Issue: 1, 102 - 105, 28.04.2016

Harun Aydoğan Mahmut Alp Karahan , Evren Büyükfırat , Maruf Sürücü

Abstract

Sjögren sendromu, gözyaşı ve tükrük bezleri başta olmak üzere, tüm ekzokrin bezlerin lenfositik
infiltrasyonu ile karakterize, kronik, sistemik, otoimmün bir sendromdur. Anestezi yönetimi açısından çoklu
sistemik etkilerinin olması, olası sıvı-elektrolit dengesi bozuklukları, immünodepresyon, otoimmün hepatitbağlı
karaciğer fonksiyon bozukluğu, aspirasyon riski, zor entübasyon ile postoperatif derlenmede geçikme
dikkat edilmesi gereken noktalardır . Bu olgu sunumunda Sjögren sendromlu sezaryen operasyonu
planlanan gebe hastaya anestezik yaklaşımının tartışılması amaçlandı. 

Keywords

Sjögren Sendromu, Gebelik, Anestezi

Anesthetic Management Of Pregnancy Patient With Sjogren's Syndrome : Case Report

Abstract

Sjögren syndrome is chronic systemic autoimmune syndrome especially affecting the tear and salivary
glands, characterized by lymphocytic infiltration all of the exocrine glands. Attention should be paid on
multi-systemic effects, potential fluid-electrolyte balance disorders, immunodepression, autoimmune
hepatitis-induced liver dysfunction, aspiration risk, delayed postoperative recovery and difficult intubation
in anesthesia management. In this case report we aimed at discussing the anesthetic management during
cesarean section operation in a thirty nine years old patient with Sjögren syndrome.

Keywords

Sjögren Syndrome, Pregnancy, Anesthesia

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