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孕妇行胸部椎旁阻滞用于乳腺手术:病例报告。

Thoracic paravertebral block for breast surgery in a pregnant woman -A case report-.

机构信息

Department of Anesthesiology and Pain Medicine, Chungnam National University School of Medicine, Daejeon, Korea.

出版信息

Korean J Anesthesiol. 2010 Dec;59 Suppl(Suppl):S73-6. doi: 10.4097/kjae.2010.59.S.S73. Epub 2010 Dec 31.

DOI:10.4097/kjae.2010.59.S.S73
PMID:21286466
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3030062/
Abstract

Non-obstetrical surgery during the first trimester is stressful to both the mother and the fetus. Anesthesiologists are also stressed, not only because of the effects of surgery itself, but also because of the uncertain influences of anesthesia thrown upon on the fetus. The authors present a case of breast surgery successfully performed on a woman 8 weeks pregnant requiring removal of breast abscess by the application of thoracic paravertebral block without any complications. Thoracic paravertebral block may be a safe anesthetic method for non-obstetric surgery during early pregnancy.

摘要

头三个月的非产科手术对母亲和胎儿都有压力。麻醉师也感到压力,不仅是因为手术本身的影响,还因为麻醉对胎儿的不确定影响。作者报告了一例成功的胸部椎旁神经阻滞应用于 8 周妊娠的女性乳房脓肿切除术的病例,没有任何并发症。胸部椎旁神经阻滞可能是早孕非产科手术的一种安全麻醉方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/eb00/3030062/b49c7d0a5efb/kjae-59-S73-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/eb00/3030062/b49c7d0a5efb/kjae-59-S73-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/eb00/3030062/b49c7d0a5efb/kjae-59-S73-g001.jpg

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引用本文的文献

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本文引用的文献

1
Categorizing the safety of medications during pregnancy and lactation.对孕期和哺乳期用药的安全性进行分类。
J Psychosoc Nurs Ment Health Serv. 2009 Apr;47(4):17-20. doi: 10.3928/02793695-20090401-06.
2
Ultrasound guided thoracic paravertebral block in breast surgery.超声引导下胸椎旁神经阻滞在乳腺手术中的应用
Anaesthesia. 2009 Feb;64(2):223-5. doi: 10.1111/j.1365-2044.2008.05843.x.
3
Increased formation of sister chromatid exchanges, but not of micronuclei, in anaesthetists exposed to low levels of sevoflurane.接触低水平七氟醚的麻醉师中姐妹染色单体交换的形成增加,但微核的形成未增加。
Anaesthesia. 2008 Aug;63(8):861-4. doi: 10.1111/j.1365-2044.2008.05498.x. Epub 2008 Jun 6.
4
Postthoracotomy paravertebral analgesia: will it replace epidural analgesia?开胸术后椎旁镇痛:它会取代硬膜外镇痛吗?
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Anesthesia for non-obstetric surgery in the pregnant patient.孕期患者非产科手术的麻醉
Minerva Anestesiol. 2007 Apr;73(4):235-40.
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Sensory blockade after thoracic paravertebral injection of ropivacaine or bupivacaine.胸椎旁注射罗哌卡因或布比卡因后的感觉阻滞
Eur J Anaesthesiol. 2006 Aug;23(8):658-64. doi: 10.1017/S0265021506000561.
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Thoracic paravertebral block: influence of the number of injections.
Reg Anesth Pain Med. 2006 May-Jun;31(3):196-201. doi: 10.1016/j.rapm.2005.12.004.
8
Sedation and analgesia for gastrointestinal endoscopy during pregnancy.妊娠期胃肠内镜检查的镇静与镇痛
Gastrointest Endosc Clin N Am. 2006 Jan;16(1):1-31. doi: 10.1016/j.giec.2006.01.007.
9
Pregnancy outcome following non-obstetric surgical intervention.非产科手术干预后的妊娠结局
Am J Surg. 2005 Sep;190(3):467-73. doi: 10.1016/j.amjsurg.2005.03.033.
10
Non-obstetric surgery during gestation: risk factors for lower birthweight.孕期非产科手术:低出生体重的危险因素。
Aust N Z J Obstet Gynaecol. 2003 Feb;43(1):27-31. doi: 10.1046/j.0004-8666.2003.00001.x.