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[延长硬膜外麻醉下剖宫产术中血流动力学紊乱的纠正]

[Correction of hemodynamic disorders during cesarean delivery under prolonged epidural anesthesia].

作者信息

Pura K R, Levinzon A S

出版信息

Anesteziol Reanimatol. 2003 Mar-Apr(2):17-20.

Abstract

The article deals with the analysis of the hemodynamic characteristics, loss of blood and infusion-transfusion therapy of women in birth during the cesarean section under the conditions of CEA. As a result of the investigation, it was revealed that the use, in case of need, of microdoses of adrenomimetics for the prophylaxis of hemodynamic disturbances mollifies the development of the sympatholytic blockade under the conditions of CPA and ensures a more flexible control over the hemodynamic reactions without deteriorating the quality of the infusion-transfusion therapy. The authors expect that the above method will be a standard one in the cesarean section under the conditions of CPA.

摘要

本文探讨了在连续硬膜外麻醉(CEA)条件下剖宫产术中女性患者的血流动力学特征分析、失血情况及输液输血治疗。研究结果表明,在需要时使用微量拟肾上腺素药物预防血流动力学紊乱,可减轻连续蛛网膜下腔阻滞(CPA)条件下交感神经阻滞的发展,并确保在不降低输液输血治疗质量的情况下更灵活地控制血流动力学反应。作者期望上述方法将成为CPA条件下剖宫产术的标准方法。

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