Schmidt D, Niedner W, Laube R, Peterseim H
Zentralbl Gynakol. 1979;101(16):1054-8.
A retrospective evaluation was made of the blood pressures of 131 patients with hypertensive late gestosis who had undergone caesarean section for maternal or foetal indications, between 1971 and 1977. Rauwolfia preparations should be avoided in both long-term and acute hypotensive treatment of late gestosis patients not only for their unfavourable impact upon circulation at large, but also for their cumulative effects in terms of drastic depression of blood pressure in case of anaesthesia necessary for whatever reason. Acute hypotensive-sedative treatment should be discontinued and resumed, only if necessary, not until anaesthesia is over following surgical termination of pregnancy. Imminent eclamptic fit would be the only exception acceptable. Anaesthesia should be induced, using the base anesthetic propanidid which worked extremely well in terms of circulatory stabilisation. It is obviously superior to barbiturates in that particular respect.
对1971年至1977年间因母体或胎儿指征接受剖宫产的131例妊娠晚期高血压患者的血压进行了回顾性评估。在妊娠晚期高血压患者的长期和急性低血压治疗中，应避免使用萝芙木制剂，这不仅是因为它们对整体循环有不利影响，还因为在因任何原因需要麻醉的情况下，它们会对血压产生急剧下降的累积效应。急性降压镇静治疗应中断，只有在必要时，直到妊娠手术终止后的麻醉结束后才能恢复。即将发生的子痫发作是唯一可接受的例外情况。应使用基础麻醉药丙泮尼地诱导麻醉，该药在循环稳定方面效果极佳。在这一特定方面，它显然优于巴比妥类药物。
