Neff R, Favre J M, Bauen J F
Ann Fr Anesth Reanim. 1985;4(5):421-3. doi: 10.1016/s0750-7658(85)80273-2.
General anaesthesia with intubation is preferable for emergency Caesarean section, whilst epidural anaesthesia should be reserved for elective Caesarean section. The case of a patient who required emergency Caesarean section following uterine rupture is discussed. The management was complicated by a cervical spine injury which had occurred four months previously. Because an epidural catheter had already been inserted at an early stage of labour, this was the anaesthetic technique chosen for the emergency section. This avoided tracheal intubation and the possibility of worsening the cervical fracture. The end result was satisfactory, both for the mother and the child.
急诊剖宫产术最好采用插管全身麻醉,而硬膜外麻醉应留作择期剖宫产术使用。本文讨论了一名子宫破裂后需要急诊剖宫产术的患者病例。由于患者在四个月前发生了颈椎损伤,使得治疗变得复杂。由于在分娩早期已经插入了硬膜外导管,因此这是为急诊手术选择的麻醉技术。这避免了气管插管以及颈椎骨折恶化的可能性。最终结果对母亲和孩子都很满意。