70例妊娠期高血压疾病剖宫产术麻醉体会

Experience of anesthesia in 70 cases of pregnant hypertensive disorders in caesarean section

目的:探讨妊娠期高血压疾病的麻醉选择及术中血压控制措施。方法:对70例妊娠期高血压疾病剖宫产术麻醉进行回顾性分析。结果:70例妊娠期高血压疾病剖宫产术硬膜外麻醉67例,约占95.7%,全麻2例,约占2.9%,局麻加静脉强化1例,占1.4%。有6例患者入手术室时血压未得到控制,占8.6%。结论:妊娠期高血压疾病剖宫产术患者以连续硬膜外麻醉为宜,但有凝血异常、弥散性血管内凝血(DIC)、休克和昏迷的患者仍需要全麻。

Objective：To investigate the selection of proper anesthesia ways and the controls of the blood pressure during the operation for hypertensive disorders in pregnancy. Methods：The clinical data for 70 cases of pregnant hypertensive disorders in caesarean section were analyzed.Results：Out of 70 cases of .pregnant hypertensive disorders, 67 cases selected epidural anesthesia （about 96%）,2 cases selected general anesthesia, 1 case selected local anesthesia and intravenous anesthesia. The blood pressures in 6 cases were not controlled before getting into the operating-room. Conclusion ：The best way of anesthesia in the operation of pregnant hypertensive disorders is continuous epidural anesthesia, however the lying-in women with blood coagulation disorders,DIC,shock or coma should be giyen general anesthesia.