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[雷尼替丁用于产科麻醉的术前用药。预防门德尔松综合征的可能性及局限性]

[Ranitidine for premedication in obstetric anesthesia. Possibilities and limitations for prevention of Mendelson syndrome].

作者信息

Jost U

出版信息

Anasth Intensivther Notfallmed. 1983 Dec;18(6):301-4.

PMID:6320689
Abstract

45 healthy young women received 50 mg Ranitidin as soon as the anaesthetist was informed that general anaesthesia was necessary for an obstetric manoeuvre. During the procedure the gastric contents were analysed quantitatively and the pH values were measured. In the parturient women, the Ranitidin effect was not attained within thirty minutes, contrary to the results obtained in male volunteers. Neutralisation was not obtained in male volunteers. Neutralisation was not obtained in all of the patients even within sixty minutes. Hence, intravenous Ranitidin cannot prevent acid aspiration in non-elective obstetric surgery if employed as the only precaution.

摘要

一旦麻醉师得知产科手术需要全身麻醉,45名健康年轻女性即接受50毫克雷尼替丁。手术过程中,对胃内容物进行了定量分析并测量了pH值。与男性志愿者的结果相反,产妇在30分钟内未达到雷尼替丁的效果。男性志愿者未实现中和。即使在60分钟内,并非所有患者都实现了中和。因此,如果仅将静脉注射雷尼替丁作为唯一的预防措施,它无法预防非选择性产科手术中的酸误吸。

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