Suppr超能文献

[新型冠状病毒肺炎患者剖宫产手术的麻醉管理:一例病例报告]

[Anesthesia management in cesarean section for patient with COVID-19: a case report].

作者信息

Kang Xianhui, Zhang Rong, He Huiliang, Yao Yongxing, Zheng Yueying, Wen Xiaohong, Zhu Shengmei

机构信息

Department of Anesthesiology, the First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou 310003, China.

出版信息

Zhejiang Da Xue Xue Bao Yi Xue Ban. 2020 May 25;49(2):249-252. doi: 10.3785/j.issn.1008-9292.2020.03.04.

Abstract

Since the coronavirus disease 2019 (COVID-19) affects the cardio-pulmonary function of pregnant women, the anesthetic management and protection of medical staff in the cesarean section is significantly different from that in ordinary surgical operation. This paper reports a case of cesarean section for a woman with COVID-19, which was successfully performed in the First Affiliated Hospital of Zhejiang University School of Medicine on February 8, 2020. Anesthetic management, protection of medical staff and psychological intervention for the pregnant woman during the operation were discussed. Importance has been attached to the preoperative evaluation of pregnant women with COVID-19 and the implementation of anesthesia plan. For moderate patients, intraspinal anesthesia is preferred in cesarean section, and try to reduce its influence in respiration and circulation in both maternal and infant; general anesthesia with endotracheal intubation should be adopted for severe or critically ill patients. Ensure the safety of medical environment, and anesthetists should carry out level-Ⅲ standard protection. Special attention and support should be paid to maternal psychology: fully explanation before operation to reduce anxiety; relieve the discomfort during operation, so as to reduce tension; avoid the bad mood due to pain after operation.

摘要

由于2019冠状病毒病(COVID-19)会影响孕妇的心肺功能,剖宫产手术中麻醉管理及医护人员防护与普通外科手术有显著不同。本文报道了1例新型冠状病毒肺炎孕妇剖宫产手术病例,该手术于2020年2月8日在浙江大学医学院附属第一医院成功实施。文中探讨了手术过程中的麻醉管理、医护人员防护及对孕妇的心理干预。重视新型冠状病毒肺炎孕妇的术前评估及麻醉方案的实施。对于中度患者,剖宫产首选椎管内麻醉,并尽量减少其对母婴呼吸和循环的影响;对于重度或危重症患者应采用气管插管全身麻醉。确保医疗环境安全,麻醉医生应实施三级标准防护。应特别关注产妇心理:术前充分解释以减轻焦虑;术中缓解不适,以减轻紧张;避免术后因疼痛导致不良情绪。

相似文献

7
[Pregnant women complicated with COVID-19: a clinical analysis of 3 cases].[新型冠状病毒肺炎合并妊娠3例临床分析]
Zhejiang Da Xue Xue Bao Yi Xue Ban. 2020 May 25;49(2):240-244. doi: 10.3785/j.issn.1008-9292.2020.03.08.

引用本文的文献

5
Management of Pregnancy during the COVID-19 Pandemic.2019冠状病毒病大流行期间的妊娠管理
Glob Chall. 2020 Oct 22;5(2):2000052. doi: 10.1002/gch2.202000052. eCollection 2021 Feb.
7
Exploring the unknown territories in the new normal world of COVID.探索新冠疫情新常态下的未知领域。
J Anaesthesiol Clin Pharmacol. 2020 Aug;36(Suppl 1):S77-S80. doi: 10.4103/joacp.JOACP_350_20. Epub 2020 Jul 25.
8
Covid-19 and Pregnancy: An Overview.新冠病毒与妊娠:概述
Rev Bras Ginecol Obstet. 2020 Jul;42(7):420-426. doi: 10.1055/s-0040-1713408. Epub 2020 Jun 19.

文献AI研究员

20分钟写一篇综述,助力文献阅读效率提升50倍。

立即体验

用中文搜PubMed

大模型驱动的PubMed中文搜索引擎

马上搜索

文档翻译

学术文献翻译模型,支持多种主流文档格式。

立即体验