Chaudhary Sujata, Salhotra Rashmi
Department of Anaesthesiology and Critical Care, UCMS and GTB Hospital, Dilshad Garden, Delhi - 110 095, India.
J Anaesthesiol Clin Pharmacol. 2011 Apr;27(2):169-73. doi: 10.4103/0970-9185.81821.
Pregnancy-induced hypertension constitutes a major cause of morbidity and mortality in developing nations and it complicates about 6-8% of pregnancies. Severe preeclampsia poses a dilemma for the anesthesiologist especially in emergency situations where caesarean deliveries are planned for uninvestigated or partially investigated parturients. This article is aimed to review the literature with regards to the type of anesthesia for such situations. A thorough search of literature was conducted on PubMed, EMBASE, and Google to retrieve the articles. Studies on parturients with severe preeclampsia, undergoing caesarean section, were included in this article. There is growing evidence to support the use of subarachnoid block in such situations when the platelet counts are >80,000 mm(-3). Better hemodynamic stability with the use of low-dose local anesthetic along with additives and better neonatal outcomes has been found with the use of subarachnoid block when compared to general anesthesia.
妊娠高血压是发展中国家发病和死亡的主要原因之一，约6-8%的妊娠会出现并发症。重度子痫前期给麻醉医生带来了难题，尤其是在计划为未做检查或部分检查的产妇进行剖宫产的紧急情况下。本文旨在回顾此类情况下麻醉类型的相关文献。通过在PubMed、EMBASE和谷歌上全面检索文献来获取文章。本文纳入了对重度子痫前期产妇进行剖宫产的研究。越来越多的证据支持，当血小板计数>80,000/mm³时，在这种情况下使用蛛网膜下腔阻滞。与全身麻醉相比，使用低剂量局部麻醉药加添加剂的蛛网膜下腔阻滞具有更好的血流动力学稳定性和更好的新生儿结局。
