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剖宫产麻醉的注意事项及麻醉选择 被引量:3

剖宫产麻醉的注意事项及麻醉选择
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摘要 目的为了提高麻醉质量,保证胎儿和母体的安全。方法回顾分析我院2009年1月120例剖宫产临床资料。结果有30例血压下降,超过基础血压25%,一半属仰卧位低血压综合征;5例术中呕吐;全麻病人新生儿Apgar评分偏低;椎管内麻醉有2例导管误入血管,3例麻醉平面过高。结论剖宫产麻醉术前要充分准备,既要考虑产妇特有的生理变化,又要顾及麻醉药物和麻醉方法对新生儿及母体的影响[1]。 Objective The c-section anaesthesia's matters needing attention and the anaesthesia choose,for by high anaesthesia quality. Guarantees the embryo and parent substance's safety. Methods The review analyzes my courtyard in the January, 2009 120 examples c-section clinical material. Results Some 30 example blood pressure drops.Surpasses 25%.Half are the supine decubitus hypotension synthesize.in 5 example techniques vomits.General anesthesia patient embryo Apgar grades somewhat low.In the neurocanal anaesthetizes has 2 example drive pipes to enter the blood vessel by mistake. 3 examples anaesthesia plane is excessively high.Conclusion Before the c-section anaesthesia surgery,must prepare fully. Must consider the parturient woman unique physiology change.Must take into consideration the anaesthesia medicine and the anaesthesia method to the embryo and parent substance's influence.
作者 李云
出处 《中外医疗》 2009年第18期7-8,共2页 China & Foreign Medical Treatment
关键词 剖宫产麻醉 选择 注意事项 C-section anaesthesia Choice Matters needing attention
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参考文献2

  • 1李树仁.麻醉危象急救和并发症治疗[M].北京:人民卫生出版社,2008:577-584.
  • 2岳云,吴新民,罗爱伦,主译.摩根临床麻醉学[M].第4版.北京:人民卫生出版社,2007:732.

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同被引文献21

  • 1陈新忠.剖宫产麻醉的若干问题[J].现代实用医学,2005,17(11):665-667. 被引量:13
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  • 9Orme RM, Grange CS, Ainsworth QP, et al. Generalanaesthesia using remifentanil for caesarean section in parturients with critical aortic stenosis: a series of four cases[J]. Int J Obstet Anesth,2004,13(3) : 183-187.
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