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[剖宫产术中鞘内注射吗啡后体温过低:另一例病例报告]

[Hypothermia after intrathecal morphine for caesarean delivery: Another case report].

作者信息

Harkouk H, de Préville G, Benhamou D

机构信息

Service d'anesthésie-réanimation, hôpital Bicêtre, AP-HP, 94275 Le Kremlin-Bicêtre cedex, France.

出版信息

Ann Fr Anesth Reanim. 2013 Jan;32(1):53-5. doi: 10.1016/j.annfar.2012.10.013. Epub 2012 Dec 28.

DOI:10.1016/j.annfar.2012.10.013
PMID:23276396
Abstract

After an uneventful caesarean delivery under spinal anaesthesia (hyperbaric bupivacaine 10mg, sufentanil 5μg and morphine 50μg), hypothermia (nadir 34°C) was recorded in a ASA 1 patient. Partial recovery was rapidly obtained with 400μg of naloxone but full recovery was obtained after seven hours of active rewarming with a forced-air warming blanket. Suggested pathophysiology and incidence of this hypothermia are described.

摘要

在腰麻下行剖宫产术(使用10mg高压布比卡因、5μg舒芬太尼和50μg吗啡)过程顺利,一名ASA 1级患者出现体温过低(最低体温34°C)。给予400μg纳洛酮后迅速出现部分恢复,但使用强制空气加温毯积极复温7小时后才完全恢复。文中描述了这种体温过低的推测病理生理机制及发生率。

相似文献

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[Hypothermia after intrathecal morphine for caesarean delivery: Another case report].[剖宫产术中鞘内注射吗啡后体温过低:另一例病例报告]
Ann Fr Anesth Reanim. 2013 Jan;32(1):53-5. doi: 10.1016/j.annfar.2012.10.013. Epub 2012 Dec 28.
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Hypothermia and excessive sweating following intrathecal morphine in a parturient undergoing cesarean delivery.剖宫产分娩产妇鞘内注射吗啡后出现体温过低和多汗。
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[Hypothermia after spinal anaesthesia: implication of morphine?].[脊髓麻醉后体温过低:吗啡的影响?]
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Low-dose naloxone infusion for the treatment of intractable nausea and vomiting after intrathecal morphine in a parturient.低剂量纳洛酮输注用于治疗一名产妇鞘内注射吗啡后出现的顽固性恶心和呕吐。
Int J Obstet Anesth. 2010 Jan;19(1):119-21. doi: 10.1016/j.ijoa.2009.06.006. Epub 2009 Nov 28.
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Hypothermia associated with subarachnoid morphine.
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Hypothermia after cesarean delivery and its reversal with lorazepam.剖宫产术后体温过低及其用劳拉西泮的逆转。
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A randomised double-blind controlled study evaluating the hypothermic effect of 150 microg morphine during spinal anaesthesia for Caesarean section.一项评估150微克吗啡在剖宫产脊髓麻醉期间低温效应的随机双盲对照研究。
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[Does combination of intrathecal magnesium sulfate and morphine improve postcaesarean section analgesia?].鞘内注射硫酸镁与吗啡联合使用是否能改善剖宫产术后镇痛?
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Persistent hypothermia after intrathecal morphine: case report and literature review.鞘内注射吗啡后持续低体温:病例报告及文献复习。
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[Vertigo and vertical nystagmus associated with intrathecal morphine administration and resolution by naloxone].
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