摘要
目的 :探讨硬膜外麻醉在剖腹产手术中的血压变化的原因及防治措施。方法 :随机选择 116例剖腹产病例 ,并对麻醉用药后及胎儿娩出后的血压进行观察与分析。结果 :用药后血压下降 5 7例 ,一是因麻醉平面扩散血压渐降 3 4例 ;另是因“仰卧位低血压综合征”血压聚降 2 3例。胎儿娩出后血压下降 48例 ,主要受腹压锐减 ,手术牵拉 ,失血等因素影响。结论 :硬膜外麻醉是剖腹产的首选 ,但因产妈的生理改变 ,易造成血动学的变化 ,临床上应密切观察及时处理。
Objective: To study the reasons of blood pressure's change and the methods of treatment and prevention in cesarean section in which epidural anesthesia is used.Methods: 116 cases cesarean section are randomly elected and the changes of blood pressure are observed and analysed after the use of anesthetic and deivery.Results: 57 case's blood pressure go down after the use of anesthetic. One reason is diffusion of anesthetic plane. that cause the blood pressure go down slowly (34 cases), another is “supine hypotension syndrome” that cause the blood pressure go down puickly (23 cases). Cheifly because abdomen pressure go down quickly, operation drag, lose blood, 48 cases's blood pressure go down after delivery.Conclusion: Epidural anesthesia is the prime election of cesarean section. Because of physical change, primipara will appear blood kinetics's change easely. Blood pressure will be obserred closely and deated in time im clinic.
出处
《航空航天医药》
2003年第3期153-154,共2页
Aerospace Medicine
关键词
硬膜外
剖腹产
血压
epidural
cesarean secition
blood pressure
