目的观察新型可充气抗休克裤预防蛛网膜下腔阻滞(腰麻)下剖宫产术中低血压的效果。方法选择择期在腰麻下行剖宫产术的单胎足月妊娠产妇97例,年龄18~35岁,ASAⅡ或Ⅲ级,孕期>37周。采用随机数字表将产妇分为两组:对照组(n=48)和观察组(...目的观察新型可充气抗休克裤预防蛛网膜下腔阻滞(腰麻)下剖宫产术中低血压的效果。方法选择择期在腰麻下行剖宫产术的单胎足月妊娠产妇97例,年龄18~35岁,ASAⅡ或Ⅲ级,孕期>37周。采用随机数字表将产妇分为两组:对照组(n=48)和观察组(n=49)。观察组腰麻后立即穿戴新型可充气抗休克裤,对照组不使用。腰麻后2~30 min每隔2 min测量并记录一次血压,如果术中出现低血压(SBP<基础值的80%),静脉注射去氧肾上腺素100μg。记录术中低血压、高血压、恶心、呕吐、心动过缓的发生情况。记录胎儿娩出时间、新生儿体重以及新生儿1、5 min Apgar评分。结果观察组术中低血压、恶心发生率明显低于对照组(P<0.05)。两组胎儿娩出时间、新生儿体重以及新生儿1、5 min Apgar评分差异均无统计学意义。结论新型可充气抗休克裤可以降低术中低血压的发生率和血压下降幅度。展开更多
Maternal death from hemorrhage in low resource settings is frequently due to long delays in transportation to referral centers and/or in obtaining blood and surgical interventions. This case series was designed to dem...Maternal death from hemorrhage in low resource settings is frequently due to long delays in transportation to referral centers and/or in obtaining blood and surgical interventions. This case series was designed to demonstrate the feasibility, efficacy and safety of the non inflatable anti shock garment (NI ASG) for resuscitation and hemostasis in the initial management of obstetric hemorrhage and shock. Fourteen cases of obstetric hemorrhage and hypovolemic shock at Memorial Christian Hospital, Sialkot, Pakistan were managed with a specific clinical protocol based on using NI ASG as the primary intervention. The NI ASG was used to resuscitate and stabilize women with hypovolemic shock from 18 to 57 h. Thirteen patients survived without evidence of morbidity, but one had prolonged shock followed by multiple organ failure and death. This study confirmed that the NI ASG quickly restored the vital signs of most women in severe hemorrhagic shock and stabilized them while awaiting blood transfusion.展开更多
文摘目的观察新型可充气抗休克裤预防蛛网膜下腔阻滞(腰麻)下剖宫产术中低血压的效果。方法选择择期在腰麻下行剖宫产术的单胎足月妊娠产妇97例,年龄18~35岁,ASAⅡ或Ⅲ级,孕期>37周。采用随机数字表将产妇分为两组:对照组(n=48)和观察组(n=49)。观察组腰麻后立即穿戴新型可充气抗休克裤,对照组不使用。腰麻后2~30 min每隔2 min测量并记录一次血压,如果术中出现低血压(SBP<基础值的80%),静脉注射去氧肾上腺素100μg。记录术中低血压、高血压、恶心、呕吐、心动过缓的发生情况。记录胎儿娩出时间、新生儿体重以及新生儿1、5 min Apgar评分。结果观察组术中低血压、恶心发生率明显低于对照组(P<0.05)。两组胎儿娩出时间、新生儿体重以及新生儿1、5 min Apgar评分差异均无统计学意义。结论新型可充气抗休克裤可以降低术中低血压的发生率和血压下降幅度。
文摘Maternal death from hemorrhage in low resource settings is frequently due to long delays in transportation to referral centers and/or in obtaining blood and surgical interventions. This case series was designed to demonstrate the feasibility, efficacy and safety of the non inflatable anti shock garment (NI ASG) for resuscitation and hemostasis in the initial management of obstetric hemorrhage and shock. Fourteen cases of obstetric hemorrhage and hypovolemic shock at Memorial Christian Hospital, Sialkot, Pakistan were managed with a specific clinical protocol based on using NI ASG as the primary intervention. The NI ASG was used to resuscitate and stabilize women with hypovolemic shock from 18 to 57 h. Thirteen patients survived without evidence of morbidity, but one had prolonged shock followed by multiple organ failure and death. This study confirmed that the NI ASG quickly restored the vital signs of most women in severe hemorrhagic shock and stabilized them while awaiting blood transfusion.
