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[剖宫产术中的麻醉]

[Anesthesia in cesarean section].

作者信息

Siegismund K, Beutner M

出版信息

Zentralbl Gynakol. 1985;107(9):550-6.

PMID:4013552
Abstract

667 cases inclusively 27 twin-births are evaluated in a retrospective study on the anesthesias administered in cesarean section (CS) from 1975 to 1983. The applied induction anesthetics hexobarbital, ketamine (Ketanest), propanidid (Sombrevin), etomidate (Radenarcon) and epidural anesthesia with bupivacaine (Marcaine) have been compared with each other concerning the Apgar scores of the newborns. Significant more depressed newborns have been found both in the hexobarbital group and to a low degree in the ketamine group. This tendency is also preserved when only the primary CS are taken into consideration. Besides the indications for the single anesthetics and methods of anesthesia, respectively, reference is made to the positioning of the mother and the avoidance of aspiration in the introduction of the anesthesia.

摘要

在一项对1975年至1983年剖宫产(CS)麻醉情况的回顾性研究中,共评估了667例病例,其中包括27例双胞胎分娩。已就所使用的诱导麻醉剂己巴比妥、氯胺酮(凯他敏)、丙泮尼地(索米维)、依托咪酯(雷尼替康)以及布比卡因(耐乐品)硬膜外麻醉对新生儿阿氏评分的影响进行了相互比较。结果发现,己巴比妥组新生儿显著更易出现抑制,氯胺酮组也有轻度抑制。仅考虑初次剖宫产时,这种趋势依然存在。除了分别提及单一麻醉剂的适应证和麻醉方法外,还提到了产妇的体位以及麻醉诱导时防止误吸的问题。

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