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硬膜外麻醉作为剖宫产的替代方法用于治疗产程延长、精疲力竭的分娩。

Epidural anaesthesia as an alternative to caesarean section in the treatment of prolonged, exhaustive labour.

作者信息

Maltau J M, Andersen H T

出版信息

Acta Anaesthesiol Scand. 1975;19(5):349-54. doi: 10.1111/j.1399-6576.1975.tb05195.x.

DOI:10.1111/j.1399-6576.1975.tb05195.x
PMID:1211073
Abstract

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.

摘要

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。

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Epidural anaesthesia as an alternative to caesarean section in the treatment of prolonged, exhaustive labour.硬膜外麻醉作为剖宫产的替代方法用于治疗产程延长、精疲力竭的分娩。
Acta Anaesthesiol Scand. 1975;19(5):349-54. doi: 10.1111/j.1399-6576.1975.tb05195.x.
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[Results obtained from lumbar catheterisation for epidural analgesia for painless labour (author's transl)].[无痛分娩硬膜外镇痛腰椎置管的结果(作者译)]
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Ritodrine-induced pulmonary oedema in labour. Successful management using epidural anaesthesia.
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[Anaesthesia, a cause of fetal distress?].[麻醉,胎儿窘迫的一个原因?]
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General anaesthesia or lumbar epidural block for caesarean section? Effects on the foetal heart rate.剖宫产应选择全身麻醉还是腰段硬膜外阻滞?对胎儿心率的影响。
Acta Anaesthesiol Scand. 1977;21(1):67-70. doi: 10.1111/j.1399-6576.1977.tb01196.x.
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The outcome of prolonged labor as defined by partography and the use of oxytocin: a descriptive study.根据产程图定义的产程延长结局及缩宫素的使用:一项描述性研究。
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Mode of delivery and lymphocyte beta 2-adrenoceptor density in parturients and newborns.产妇及新生儿的分娩方式与淋巴细胞β2-肾上腺素能受体密度
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THE PLACE OF CONTINUOUS LUMBAR EPIDURAL ANALGESIA IN THE MANAGEMENT OF ABNORMALLY PROLONGED LABOUR.持续腰段硬膜外镇痛在异常延长产程管理中的应用
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Continuous lumbar epidural analgesia for labour and delivery.分娩期间持续腰段硬膜外镇痛
Br Med J. 1979 Jan 13;1(6156):72-4. doi: 10.1136/bmj.1.6156.72.