妇产科急诊腹腔内出血患者的麻醉处理

Anesthetic management of emergency abdominal bleeding in obstetrics and gynecology department

目的:探讨妇产科急诊腹腔内出血患者的最佳麻醉方案。方法:收治腹腔内出血患者204例,根据患者有无出现休克分为硬膜外麻醉组和全麻组,各102例。硬膜外麻醉组采取硬膜外间隙阻滞麻醉,全麻组采取静吸复合麻醉。结果:全麻组总有效率优于硬膜外麻醉组(P>0.05)。结论:妇产科急诊腹腔内少量出血患者在有效扩容的基础上采取硬膜外麻醉方案,休克患者应采取全麻方案。

Objective:To investigate the best anesthetic plan for emergency abdominal bleeding in gynecology and obstetrics department.Methods:204patients with intraperitoneal hemorrhage were divided into the epidural anesthesia group and the general anesthesia group according to whether the patients had shock or not,with102cases in each group.The epidural anesthesia group were treated with epidural space block anesthesia,and the general anesthesia group were treated with combined inhalation and static anesthesia.Results:The total effective rate of the general anesthesia group was better than that of the epidural anesthesia group(P>0.05).Conclusion:For patients with small amount of bleeding in the abdominal cavity in the emergency department of Obstetrics and Gynecology.Epidural anesthesia program should be adopted based on effective dilatation,and the general anesthesia program should be adopted for the shock patients.