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出生地的麻醉并发症:神经轴阻滞总是罪魁祸首吗?

Anesthesia complications in the birthplace: is the neuraxial block always to blame?

作者信息

Birnbach David J, Ranasinghe J Sudharma

机构信息

Department of Anesthesiology, University of Miami-Jackson Memorial Hospital Center for Patient Safety, Miller School of Medicine, University of Miami, Miami, FL 33136, USA.

出版信息

Clin Perinatol. 2008 Mar;35(1):35-52, vii. doi: 10.1016/j.clp.2007.11.011.

Abstract

This article highlights the common and some of the very serious complications that may occur following neuraxial analgesia for labor and delivery, including headache, backache, infection, hypotension, and hematoma. Total spinal and failed block also are discussed, as are complications unique to epidural anesthesia, such as the intravascular injection of large volumes of local anesthetic (causing seizure or cardiac arrest) and accidental dural puncture.

摘要

本文重点介绍了分娩时进行椎管内镇痛后可能出现的常见及一些非常严重的并发症,包括头痛、背痛、感染、低血压和血肿。还讨论了全脊髓麻醉和阻滞失败,以及硬膜外麻醉特有的并发症,如大量局麻药血管内注射(导致癫痫发作或心脏骤停)和意外硬膜穿破。

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