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关于产科脊髓麻醉应用的争论:脊髓麻醉在产科有明确的适应证。

Debate on use of spinal anesthesia in obstetrics: spinal anesthesia has definite indications in obstetrics.

作者信息

Carrie L E

机构信息

Maternity Dept., John Radcliffe Hospital, Headington, Oxford, England.

出版信息

Acta Anaesthesiol Belg. 1988;39(3):177-9.

PMID:3057791
Abstract

Spinal anesthesia has the advantages of speed of onset, reliability and lack of toxicity over lumbar epidural block. Against this must be offset several disadvantages, but these can be largely eliminated by careful choice of equipment and meticulous attention to details of technique. Only experienced obstetric anesthetists should perform spinal anesthesia, especially for Caesarean section. Given these conditions, spinal block has a most important part to play in obstetric anesthesia.

摘要

与腰段硬膜外阻滞相比,脊髓麻醉具有起效迅速、效果可靠且无毒性的优点。但也存在一些必须权衡的缺点,不过通过精心选择设备并严格注意技术细节,这些缺点在很大程度上可以消除。只有经验丰富的产科麻醉医生才能实施脊髓麻醉,尤其是剖宫产手术时。在满足这些条件的情况下,脊髓阻滞在产科麻醉中发挥着极为重要的作用。

相似文献

1
Debate on use of spinal anesthesia in obstetrics: spinal anesthesia has definite indications in obstetrics.关于产科脊髓麻醉应用的争论:脊髓麻醉在产科有明确的适应证。
Acta Anaesthesiol Belg. 1988;39(3):177-9.
2
[Lumbar and caudal peridural and spinal anesthesia in obstetrics. Indication, advantages, disadvantages, and hazards].[产科腰段和尾段硬膜外及脊髓麻醉。适应症、优点、缺点及风险]
Gynakologe. 1976 Dec;9(4):199-202.
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There is only a limited place for spinals in obstetrics.脊柱麻醉在产科的应用范围有限。
Acta Anaesthesiol Belg. 1988;39(3):181-4.
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Continuous spinal anesthesia and analgesia in obstetrics.连续脊麻和镇痛在产科中的应用。
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[Combined spinal-epidural anesthesia for cesarean section].剖宫产术的腰麻-硬膜外联合麻醉
Ugeskr Laeger. 1993 Sep 6;155(36):2811-4.
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[Development of incidence of post-dural puncture headache in patients undergoing caesarean section in spinal anaesthesia at the Department of Obstetrics and Gynecology in Olomouc during 2003-2004].[2003 - 2004年奥洛穆茨妇产科剖宫产脊髓麻醉患者硬膜外穿刺后头痛发生率的研究]
Cas Lek Cesk. 2006;145(3):204-8.
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A survey of obstetric an aesthesia practice in Flanders.佛兰德地区产科麻醉实践调查。
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[Combined epidural and spinal anesthesia for cesarean section].剖宫产联合硬膜外与脊髓麻醉
Cah Anesthesiol. 1994;42(5):627-31.
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Spinal myoclonus following combined spinal-epidural anaesthesia for Caesarean section.剖宫产联合腰麻-硬膜外麻醉后发生的脊髓性肌阵挛
Anaesthesia. 2006 Jun;61(6):597-600. doi: 10.1111/j.1365-2044.2006.04655.x.
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[Maternal complications following conduction anaesthesia during a delivery (author's transl)].分娩期间传导麻醉后的母体并发症(作者译)
Geburtshilfe Frauenheilkd. 1980 Mar;40(3):216-9.

引用本文的文献

1
Spinal anaesthesia in obstetrics.产科脊髓麻醉
Can J Anaesth. 1995 Dec;42(12):1145-63. doi: 10.1007/BF03015105.