摘要
目的提高对妊娠合并重症肝炎剖腹产麻醉的管理能力。方法复习22例急诊剖腹产的麻醉处理。结果12例在硬膜外麻醉下完成;10例在局麻以及少量氯胺酮辅助下完成;7例胎儿娩出后出血不止,在局麻复合静脉麻醉下行全子宫切除术;胎儿死亡3例。结论有严重出血倾向、3P试验阳性、DIC的产妇的剖腹产麻醉宜采用局麻辅助少量氯胺酮的方法。
In order to improve the capacity of anesthesia management for cesarean section in pregnant women with severe hepatitis. By studying 22 cases of anesthesia for emergent cesarean section. 12 cases through epidural anesthesia; 10 cases through local anesthesia with small dose ketamine administration; 7 cases undergoing panhysterectomy through the combination of local anesthesia and intravenous anesthesia, due to continuing bleeding after the delivery of fetus; 3 fetuses death. [Conclusion] It's advisable to adopt the combination of local anesthesia and small dose ketamine administration for patients with significant bleeding tendency, 3P test positive or DIC in cesarean section.
出处
《中国现代医学杂志》
CAS
CSCD
北大核心
2005年第4期603-604,共2页
China Journal of Modern Medicine
关键词
妊娠肝炎
剖腹产
麻醉
pregnant women with severe hepatitis
cesarean section
anesthesia
