Echigoya Yuichi, Kawahigashi Hiroshi, Ito Yoshitada, Takase Mio, Yu Fangqin
Department of Anesthesia, Shinnittetsu Muroran General Hospital, Muroran.
Masui. 2006 Dec;55(12):1472-5.
There are few consistent anesthetic guidelines how to manage cesarean section in the presence of placenta previa. Main problem may be hemorrhage, as occasionary unexpected massive bleeding leads to life-threatening hemorrhage.
We investigated retrospectively, covering the period between April 1, 2001 and September 30, 2005, 30 women with placenta previa who had undergone cesarean section.
Comparing general anesthesia with regional anesthesia, there was not a significant difference between the two. Comparing totalis (T) with partial (P) in the classification of placenta previa, infusion and hemorrhage in T group were more pronounced than those in the P group. Regarding these operations performed during the weekend or at night, shortage of supportive anesthesiologist was pointed out.
These results indicate that regional and general anesthesia did not differ in the intraoperative incidence. In all cases at least two anesthesiologists and at least two venous lines are necessary to manage cesarean section in the presence of placenta previa.
对于前置胎盘剖宫产的处理，几乎没有统一的麻醉指南。主要问题可能是出血，因为偶尔出现的意外大量出血会导致危及生命的大出血。
我们回顾性研究了2001年4月1日至2005年9月30日期间接受剖宫产的30例前置胎盘患者。
全身麻醉与区域麻醉相比，两者无显著差异。前置胎盘分类中完全性（T）与部分性（P）相比，T组的输液量和出血量比P组更明显。对于在周末或夜间进行的这些手术，指出了麻醉支持人员不足的问题。
这些结果表明区域麻醉和全身麻醉在术中发生率上没有差异。对于前置胎盘剖宫产，所有病例至少需要两名麻醉医生和至少两条静脉通路。
