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剖宫产全身麻醉诱导对绒毛间隙血流的影响。

Effect of induction of general anesthesia for cesarean section on intervillous blood flow.

作者信息

Jouppila P, Kuikka J, Jouppila R, Hollmén A

出版信息

Acta Obstet Gynecol Scand. 1979;58(3):249-53. doi: 10.3109/00016347909154043.

DOI:10.3109/00016347909154043
PMID:484216
Abstract

Intervillous blood flow was measured by a new intravenous 133Xe method before and during induction of general anesthesia for cesarean section in 10 healthy mothers. The flow values showed a highly significant decrease (p less than 0.001) (35 per cent on an average) at the time of anesthesia compared with the control values. The impairment was observed in all the cases. The role of the maternal changes in hemodynamic parameters and acid-base balance as a background of this decrease is discussed.

摘要

采用一种新的静脉注射¹³³Xe方法,对10名健康产妇剖宫产全身麻醉诱导前及诱导过程中的绒毛间隙血流进行了测量。与对照值相比,麻醉时血流值显著降低(p<0.001)(平均降低35%)。所有病例均观察到这种损害。本文讨论了产妇血流动力学参数和酸碱平衡变化在这种降低现象中的作用。

相似文献

1
Effect of induction of general anesthesia for cesarean section on intervillous blood flow.剖宫产全身麻醉诱导对绒毛间隙血流的影响。
Acta Obstet Gynecol Scand. 1979;58(3):249-53. doi: 10.3109/00016347909154043.
2
Changes in placental intervillous blood flow measured by the 133xenon method during lumbar epidural block for elective caesarean section.择期剖宫产腰段硬膜外阻滞期间用133氙方法测量的胎盘绒毛间隙血流变化。
Acta Anaesthesiol Scand. 1979 Dec;23(6):529-33. doi: 10.1111/j.1399-6576.1979.tb01483.x.
3
Placental intervillous blood flow measured by inhaled 133Xe clearance in relation to induction of epidural analgesia.通过吸入133Xe清除率测量的胎盘绒毛间隙血流与硬膜外镇痛诱导的关系。
Br J Obstet Gynaecol. 1979 Jun;86(6):426-31. doi: 10.1111/j.1471-0528.1979.tb10784.x.
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Spinal and epidural versus general anesthesia for elective cesarean section at term: effect on the acid-base status of the mother and newborn.足月选择性剖宫产术采用脊髓和硬膜外麻醉与全身麻醉的比较:对母亲和新生儿酸碱状态的影响
J Matern Fetal Neonatal Med. 2003 Apr;13(4):260-6. doi: 10.1080/jmf.13.4.260.266.
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Placental blood flow during caesarean section under lumbar extradural analgesia.腰段硬膜外镇痛下剖宫产术中的胎盘血流情况。
Br J Anaesth. 1978 Mar;50(3):275-9. doi: 10.1093/bja/50.3.275.
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Lumbar epidural analgesia to improve intervillous blood flow during labor in severe preeclampsia.腰段硬膜外镇痛以改善重度子痫前期产妇分娩期间的绒毛间隙血流。
Obstet Gynecol. 1982 Feb;59(2):158-61.
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Measurement of intervillous and myometrial blood flow by an intravenous 133Xe method.采用静脉注射¹³³氙方法测量绒毛间隙和子宫肌层血流。
Br J Obstet Gynaecol. 1976 Sep;83(9):723-8. doi: 10.1111/j.1471-0528.1976.tb00921.x.
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Epinephrine does not alter human intervillous blood flow during epidural anesthesia.肾上腺素在硬膜外麻醉期间不会改变人绒毛间隙血流。
Anesthesiology. 1981 Feb;54(2):131-5. doi: 10.1097/00000542-198102000-00006.
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Neonatal effects of anesthesia for caesarean section.
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Anesthesia for caesarean section and immediate neonatal outcome.
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引用本文的文献

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Efficacy of intravenous paracetamol on pressor response in patients undergoing cesarean section under general anesthesia.静脉注射对乙酰氨基酚对全身麻醉下剖宫产患者升压反应的疗效。
J Anaesthesiol Clin Pharmacol. 2016 Apr-Jun;32(2):210-3. doi: 10.4103/0970-9185.173332.
2
Regional anesthesia in patients with pregnancy induced hypertension.妊娠高血压患者的区域麻醉
J Anaesthesiol Clin Pharmacol. 2013 Oct;29(4):435-44. doi: 10.4103/0970-9185.119108.
3
Subarachnoid block for caesarean section in severe preeclampsia.重度子痫前期剖宫产蛛网膜下腔阻滞
J Anaesthesiol Clin Pharmacol. 2011 Apr;27(2):169-73. doi: 10.4103/0970-9185.81821.
4
Pharmacokinetic optimisation of general anaesthesia in pregnancy.孕期全身麻醉的药代动力学优化
Clin Pharmacokinet. 1993 Jul;25(1):59-70. doi: 10.2165/00003088-199325010-00004.
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Epidural anaesthesia for elective caesarean section does not influence fetal umbilical artery blood flow indices.
Can J Anaesth. 1994 Nov;41(11):1053-6. doi: 10.1007/BF03015653.
6
Anaesthetic considerations in high-risk pregnancy.高危妊娠的麻醉注意事项
Can Anaesth Soc J. 1986 May;33(3 Pt 2):S16-27. doi: 10.1007/BF03019152.