MacLennan F M
Lancet. 1986 Mar 15;1(8481):587-9. doi: 10.1016/s0140-6736(86)92812-6.
There have been major changes in obstetric and anaesthetic practice since 1946, including the introduction of intravenous infusions, oxytocics, tocolytic drugs, and endotracheal intubation. Some of these may adversely affect pulmonary water balance, which is probably already altered by pregnancy. These changes may have contributed to the increased severity of Mendelson's syndrome in pregnancy and to some extent explain the failure of prophylaxis to reduce maternal deaths.
自1946年以来，产科和麻醉实践发生了重大变化，包括引入静脉输液、催产素、宫缩抑制剂和气管插管。其中一些可能会对肺水平衡产生不利影响，而肺水平衡可能已经因妊娠而改变。这些变化可能导致了妊娠期门德尔森综合征严重程度的增加，并在一定程度上解释了预防措施未能降低孕产妇死亡率的原因。
