Delarue T, Maheo A, Souplet J P
Service de Gynécologie-Obstétrique, Centre Hospitalier de Vitré.
Rev Fr Gynecol Obstet. 1988 Jun 15;83(6):427-37.
With the help of an extensive review of the french and foreign literature, and personal statistics concerning 500 peridural anesthesias (PDA), the authors analyze the indications and contraindications of this type of anesthesia, in 1987. It is possible to differentiate well accepted indications: caesarean section, inducement, labor test, dynamic dystocia, delivery of fragile fetus, desire of the patient; definite contraindications: patient's refusal, coagulation disorders, emergency situations, some cardiopathies; debatable indications: breech delivery, scarred uterus, twin delivery, maternal medical problem, where each particular case must be evaluated. In his study, the authors demonstrate that indications tend to become broader and contraindications to become more infrequent. They stress a necessary co-operation between obstetrician and anesthetist to make this decision.
在广泛查阅法国及国外文献并结合500例硬膜外麻醉（PDA）个人统计数据的基础上，作者于1987年分析了此类麻醉的适应证和禁忌证。可以区分出广泛认可的适应证：剖宫产、引产、产程试验、动力性难产、脆弱胎儿分娩、患者意愿；明确的禁忌证：患者拒绝、凝血功能障碍、紧急情况、某些心脏病；有争议的适应证：臀位分娩、瘢痕子宫、双胎分娩、产妇内科问题，每种具体情况都必须进行评估。在其研究中，作者表明适应证有扩大的趋势，禁忌证则越来越少见。他们强调产科医生和麻醉医生之间进行必要合作以做出这一决定。
