Maltau J M, Andersen H T
Acta Anaesthesiol Scand. 1975;19(5):349-54. doi: 10.1111/j.1399-6576.1975.tb05195.x.
Epidural anaesthesia was given to nine parturients who were considered candidates for delivery by caesarena section due to prolonged exhaustive labour. Upon pain relief and oxytocin infucion guided by cardiotocography, vaginal delivery took place. Delivery was spontaneous in seven cases, two were instrumentally delivered. It is concluded that an efficient epidural block tends to restore uterine contractility by reducing the inhibitory influences exerted by adrenergic mechanisms and unfavourable changes in the acid-base balance.
对9名因产程延长、精疲力竭而被认为适合剖宫产的产妇实施了硬膜外麻醉。在缓解疼痛并在胎心监护引导下输注缩宫素后,进行了阴道分娩。7例为自然分娩,2例为器械助产。结论是有效的硬膜外阻滞倾向于通过减少肾上腺素能机制施加的抑制性影响以及酸碱平衡的不利变化来恢复子宫收缩力。