摘要
目前椎管内麻醉仍是产科麻醉的主流,但对于急诊危重产科(重度子痫前期、HELLP综合征、妊娠合并严重心脏病等)、椎管内麻醉有禁忌或产妇拒绝椎管内麻醉等情况,全身麻醉(全麻)仍然是一种必要的选择。产科全麻主要考虑母体和胎儿两个方面,对于母体主要考虑的问题是插管困难和如何防止反流误吸,对胎儿主要考虑麻醉及药物对胎儿和新生儿的影响。
At present,neuraxial anesthesia is still the mainstream in the obstetric anesthesia.However,when it refers to emergency delivery（severe pre-eclampsia,HELLP syndrome or pregnancy with severe cardiac disease etc.）,contraindications with neuraxial anesthesia or parturienst who refuse neuraixal anesthesia,general anesthesia is still necessmy.The two aspects of parturient and fetus need to be considered for obstetric general anesthesia.For parturient,the problems of difficult intubation and how to prevent regurgitation and aspiration are mainly considered,and for fetus,the effects of anesthesia and drugs for the fetus and newborns are mainly considered.
出处
《医学综述》
2014年第18期3383-3384,3396,共3页
Medical Recapitulate
关键词
产科全麻
产妇呼吸道
反流误吸
Obstetric general anesthesia
Parturient airway
Regurgitation and aspiration
