摘要
于1997年1月至2006年12月，温州医学院附属第二医院共有7例患者在脊椎-硬膜外联合麻醉（CSEA）下剖宫产术时，并发急性胎盘早剥。分析表明，CSEA下剖宫产术中发生急性胎盘早剥可能的危险因素为术前焦虑及CSEA后发生仰卧位低血压综合征。CSEA下剖宫产术时虽然急性胎盘早剥很少发生，但其一旦发生将严重危及母婴的生命，应采取有效的预防措施，包括：术前静脉注射咪达唑仑消除患者焦虑；采取针对性措施避免CSEA后发生仰卧位低血压综合征。
Seven cases scheduled for cesarean section following combined spinal-epidural anesthesia, complicating the premature detachment of placenta, which occurred in the 2nd Affiliated Hospital of Wenzhou Medical College from January 1997 to December 2006, were analyzed to determine the risk factors. The results showed that the supine hypotensive syndrome after combined spinal-epidural anesthesia and anxiety before cesarean section were closely related to the premature detachment of placenta. The incidence rate of the premature detachment of placenta after combined splnal-epidural anesthesia is low, but the prermature of detachment of placenta is severe if it occurs, and the effectively prophylactic measures should be taken, including premedication with midazolam to eliminate anxiety before cesarean section and prevention of supine hypotensive syndrome after combined spinal-epidural anesthesia.
出处
《中华麻醉学杂志》
CAS
CSCD
北大核心
2008年第7期587-589,共3页
Chinese Journal of Anesthesiology
关键词
麻醉
脊椎
麻醉
硬膜外
剖宫产术
手术中并发症
胎盘早剥
危险因素
Anesthesia, spinal
Anesthesia, epidural
Cesarean section
Introperative complications
Abruptio placentae
Risk factors
