摘要目的:探讨妊娠合并支气管动脉-肺静脉瘘破裂咯血的围术期处理和效果。方法:回顾性分析1例妊娠晚期合并右肺支气管动脉-肺静脉瘘破裂咯血的患者行剖宫产术的麻醉处理并复习相关文献，结合患者病理生理变化、术前麻醉评估、麻醉方式的选择、术中麻醉处理、术后并发症的治疗等进行分析讨论。结果:患者在全身麻醉双腔气管导管插管下行剖宫产术，术毕进行介入DSA治疗：肺动脉造影、支气管动脉栓塞术。母婴结局良好。结论:妊娠合并支气管动脉-肺静脉瘘患者围术期母婴安全需要术前积极的内科治疗、术中麻醉维持气道安全和内环境稳定，及时有效的DSA治疗。

abstractsObjective:To investigate the perioperative management of pregnancy complicated with hemoptysis due to bronchial artery-pulmonary vein fistula rupture and the effect.Methods:A patient with right bronchial artery-pulmonary venous fistula and hemoptysis in the third trimester of pregnancy who underwent cesarean section was retrospectively analyzed. Related literatures were reviewed. The patient's preoperative anesthesia evaluation, selection of anesthesia methods, intraoperative anesthesia treatment, and postoperative complications were analyzed and discussed.Results:The patient underwent cesarean section under general anesthesia with double-lumen endotracheal intubation. After the operation, interventional DSA therapies, pulmonary angiography, and bronchial artery embolization were performed. Maternal and infant outcomes are good.Conclusion:Perioperative maternal and infant safety in patients with pregnancy complicated by bronchial artery-pulmonary vein fistula requires preoperative active medical treatment, intraoperative anesthesia to maintain airway safety and internal environment stability, and timely and effective DSA treatment.