Stone P A, Thorburn J, Lamb K S
Department of Anaesthetics, Western Infirmary, Glasgow.
Br J Anaesth. 1989 Mar;62(3):335-7. doi: 10.1093/bja/62.3.335.
After extradural blockade failed to extend sufficiently for elective Caesarean section, spinal anaesthesia was performed using 1.6 ml of hyperbaric 0.5% bupivacaine solution in 8% glucose (Marcain Heavy). The patient rapidly developed sensory blockade to the level of T2, and became distressed and dyspnoeic. General anaesthesia was induced. Despite i.v. ephedrine and fluid loading, severe hypotension occurred, which responded subsequently to further doses of ephedrine and infusion of colloid. A healthy infant was delivered by Caesarean section.
硬膜外阻滞未能充分扩展以用于择期剖宫产术后，采用1.6毫升含8%葡萄糖的高压0.5%布比卡因溶液（重比重布比卡因）实施脊髓麻醉。患者迅速出现T2水平的感觉阻滞，并变得烦躁和呼吸困难。遂诱导全身麻醉。尽管静脉注射了麻黄碱并进行了液体负荷，但仍出现严重低血压，随后通过进一步注射麻黄碱和输注胶体得以缓解。通过剖宫产娩出一名健康婴儿。
