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产科急症的麻醉

Anesthesia for obstetric emergencies.

作者信息

Shaw D B, Wheeler A S

出版信息

Clin Obstet Gynecol. 1984 Mar;27(1):112-24. doi: 10.1097/00003081-198403000-00016.

Abstract

Anesthesia in an emergency presents an additional risk to the mother and may have some possibly harmful effects on the stressed fetus. The risk to the mother can be reduced by using regional anesthesia, whenever reasonable, and by taking measures to minimize the risk of aspiration of vomitus. The stressed fetus can be assisted, if not by a rapid delivery, by giving the mother oxygen to oxygenate the fetus and possibly by improving intervillous perfusion with a regional anesthetic.

摘要

急诊麻醉会给母亲带来额外风险,并且可能对处于应激状态的胎儿产生一些潜在有害影响。只要合理可行,采用区域麻醉并采取措施将呕吐物误吸风险降至最低,可降低对母亲的风险。对于处于应激状态的胎儿,如果不能迅速分娩,可通过给母亲吸氧以使胎儿获得氧合,还可能通过区域麻醉改善绒毛间隙灌注来提供帮助。

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