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剖宫产术中布比卡因硬膜外麻醉后出现的脑惊厥

[Cerebral convulsion following peridural anesthesia with bupivacaine in cesarean section].

作者信息

Knitza R, Sirtl C, Wisser J, Rhein R, Fischer B

机构信息

Frauenklinik im Klinikum Grosshadern der LMU München.

出版信息

Geburtshilfe Frauenheilkd. 1988 Jan;48(1):47-9. doi: 10.1055/s-2008-1035694.

Abstract

Maternal convulsions and severe fetal bradycardia resulted from the accidental intravascular injection of 0.5% bupivacaine for epidural anesthesia in preparation for caesarean section. Ventilation with oxygen, application of anticonvulsive drugs, relaxation and intubation was promptly performed followed by immediate caesarean section. The newborn was depressed at birth, recovered quickly and showed no neurologic deficits neither in the immediate postnatal period nor in neurobehaviour tests at the age of three months.

摘要

剖宫产术前硬膜外麻醉时意外血管内注射0.5%布比卡因导致产妇惊厥和严重胎儿心动过缓。立即进行了面罩给氧、应用抗惊厥药物、肌肉松弛及气管插管,随后即刻剖宫产。新生儿出生时情况不佳,但恢复迅速,在出生后即刻及3个月时的神经行为测试中均未显示神经功能缺损。

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