颅内压升高患者分娩期的麻醉管理
Anesthetic management of labor and delivery in patients with elevated intracranial pressure.
作者信息
Anson J A, Vaida S, Giampetro D M, McQuillan P M
机构信息
Department of Anesthesiology, Penn State Milton S. Hershey Medical Center, Hershey, PA, USA.
Department of Anesthesiology, Penn State Milton S. Hershey Medical Center, Hershey, PA, USA.
出版信息
Int J Obstet Anesth. 2015 May;24(2):147-60. doi: 10.1016/j.ijoa.2015.01.004. Epub 2015 Jan 19.
The anesthetic management of labor and delivery in patients with elevated intracranial pressure is complex. This review discusses the etiologies of diffuse and focal pathologies which lead to elevated intracranial pressure in pregnancy. The role of neuraxial and general anesthesia in the management of labor and delivery is also examined. Finally, a comprehensive review of strategies to minimize increases in intracranial pressure during general anesthesia for cesarean delivery is presented.
颅内压升高患者分娩时的麻醉管理很复杂。本综述讨论了导致妊娠期颅内压升高的弥漫性和局灶性病变的病因。还研究了神经轴麻醉和全身麻醉在分娩管理中的作用。最后，全面综述了剖宫产全身麻醉期间将颅内压升高降至最低的策略。
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