Jullien Y, de Rodez M, du Cailar J
Ann Anesthesiol Fr. 1979;20(1):41-51.
One hundred and seventeen caesarean sections performed under epidural anesthesia are reported. Following localization by air myelography, catheterization of the epidural space was performed in all cases. The estimated level of injection was L 1.76 +/- 0.82. The local anesthetic used was: lignocaine 2 p. 100 with adrenalin 1/160,000 (N = 13) in a dose of 388 mg +/- 81.4; bupivacaine 0.5 p. 100 with adrenalin 1/2000,000 (N = 77) in a dose of 106.6 mg +/- 20; or a mixture of bupivacaine 0.5 p. 100 with adrenalin 1/200,000 and lignocaine 2 p. 100 without adrenalin (N = 27) at doses of 91.0 mg +/- 23.9 and 238 mg +/- 53.4 respectively. The failure rate was 5.97 p. 100 and the operative conditions were satisfactory in 91.5 p. 100 of cases. Apgar scores were greater than 7 in 87 p. 100 of cases at one minute and 99 p. 100 of cases at 5 minutes. The proportion of minor incidents was 30 p. 100, and of complications 3.5 p. 100. Their prevention and treatment and the anesthetic protocol are discussed.
本文报告了117例在硬膜外麻醉下进行的剖宫产手术。所有病例均在空气脊髓造影定位后进行硬膜外腔置管。估计的注射平面为L 1.76±0.82。使用的局部麻醉药为：2%利多卡因加1/160,000肾上腺素（N = 13），剂量为388 mg±81.4；0.5%布比卡因加1/2,000,000肾上腺素（N = 77），剂量为106.6 mg±20；或0.5%布比卡因加1/200,000肾上腺素与2%利多卡因不加肾上腺素的混合液（N = 27），剂量分别为91.0 mg±23.9和238 mg±53.4。失败率为5.97%，91.5%的病例手术条件满意。87%的病例出生后1分钟阿氏评分大于7分，99%的病例出生后5分钟阿氏评分大于7分。轻微事件的比例为30%，并发症的比例为3.5%。文中讨论了它们的预防和治疗以及麻醉方案。
