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严重成骨不全病人剖宫产术麻醉处理1例 被引量：4

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摘要 病人,女性,年龄22岁,身高110 cm,体重38 kg.因终止妊娠入院.术前诊断：妊娠38＋1周,原发性成骨不全,胎儿生长受限.拟择期行剖宫产术.术前体格检查：病人不能行走,轻度活动后心悸,胸廓、脊柱、四肢均严重畸形,巩膜灰色,听力正常,唇舌肥大,Mallampati分级4级,牙齿发育不良,NYHA分级3级.心电图示：窦性心率137次/min,心肌缺血.血常规检查示：Hb 99.0 g/L.术前间断咳嗽,无痰7d.心内科和呼吸科会诊未给予特殊处理.
作者 李凯 李龙云 高明 朱志华 赵国庆
机构地区 [
出处 《中华麻醉学杂志》 CAS CSCD 北大核心 2013年第9期1150-1151,共2页 Chinese Journal of Anesthesiology
关键词 剖宫产术 成骨不全 麻醉处理 术前体格检查 胎儿生长受限 NYHA分级 术前诊断 终止妊娠
分类号 R614 [医药卫生—麻醉学]
  • 相关文献

参考文献13

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二级参考文献12

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共引文献38

同被引文献32

  • 1王擒云,戴体俊,曾因明.GABA_A受体对内源性痛觉下行抑制系统的调控作用[J].国外医学（麻醉学与复苏分册）,2004,25(4):209-212. 被引量：24
  • 2Hebbard P,Fujiwara Y,Shibata Y,et al.Ultrasound-guided transversus abdominis plane (TAP) block[J].Anaesth Intensive Care,2007,35 (4):616-617.
  • 3Walter EJ,Smith P,Albertyn R,et al.Ultrasound imaging for transversus abdominis blocks[J].Anaesthesia,2008,63 (2):211-217.
  • 4McDonnell JG,O' Donnell BD,Fanell T,et al.Transevrsus abdominis plane block:a cadaveric and radiological evaluation[J].Reg Anesth Med,2007,32 (5):399-402.
  • 5Hebbard P.Subcostal transversus abdominis plane block under ultrasound guidance[J].Anesth Analg,2008,106 (2):674-675.
  • 6Lee TH,Barrington MJ,Tran TM,et al.Comparison of extent of sensory block following posterior and subcostal approaches to ultrasoundguided transversus abdominis plane block[J].Anaesth Intensive Care,2010,38 (3):452-460.
  • 7Raft AN.Abdominal field block:a new approach via the lumbar triangle[J].Anaesthesia,2001,56 (10):1024-1025.
  • 8Elkassabany N,Ahmed M,Malkowicz SB,et al.Comparison between the analgesic efficacy of transversus abdominis plane (TAP) block and placebo in open retropubic radical prostatectomy:a prospective,randomized,double blinded study[J].J Clin Anesth,2013,25 (6):459-465.
  • 9Herring AA,Stone MB,Nagdev AD.Ultrasound-guided abdominal wall nerve blocks in the ED[J].Am J Emerg Med,2012,30 (5):759-764.
  • 10Gebhardt R,Wu K.Transversus abdominis plane neurolysis with phenol in abdominal wallcancer pain palliation[J].Pain Physician,2013,16 (3):E325-E330.

引证文献4

二级引证文献27

中华麻醉学杂志
2013年 第9期

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