全身麻醉用于急诊剖宫产的临床体会

General anesthesia for emergency cesarean section clinical experience

目的:妊娠期手术及麻醉存在其特殊性,麻醉要求保证母子安全。方法:对32例进行全身麻醉孕妇剖宫产手术。结果:患者生命体征基本平稳,无麻醉意外发生,共12例新生儿需行复苏,其中早产、极低体质量者占大多数,2例复苏>5min。结论:全身麻醉用于危重孕妇剖宫产手术风险较高,须慎重考虑用药方式、剂量、用药时间以及胎儿及母体的全身情况。

Objective： surgery and anesthesia during pregnancy, there is the particularity requirement is to ensure mother and anesthesia safety. Methods： 32 patients were pregnant women, cesarean section under general anesthesia, the Result： The vital signs were stable, without anesthesia accidents, a total of 12 cases of neonatal resuscitation be OK, including premature birth, low body mass accounted for most of the 2 cases recovery〉 5 min. Conclusion： General anesthesia for critically ill pregnant women, cesarean section, is a high risk, should carefully consider the way medication, dosage, administration time, and the fetus and the mother＇s general condition.