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[孕妇的肺功能及其对剖宫产麻醉通气的意义]

[Lung function in pregnant patients and its significance for anesthetic ventilation in cesarean section].

作者信息

Garstka G, Schlebusch H, Rommelsheim K

出版信息

Anasth Intensivther Notfallmed. 1982 Sep;17(5):290-6.

PMID:6816086
Abstract

Spirometry was conducted preoperatively in a group of 10 women subjected to cesarean section. The measured minute ventilation served as basis for ventilation under anaesthesia. The acid-base and blood gas parameters of the newborns from this group of patients were compared to the corresponding data obtained from babies of 11 women who underwent caesarean section under epidural analgesia. It was found that part of the data were significantly better under general anaesthesia with controlled respiration than under epidural analgesia with spontaneous respiration. The maternal carbon dioxide level assumes the significance of a guiding value for the choice of the ventilation parameters. If the spirometric initial data and the actual pCO2 value under anaesthesia are not known, it is recommended to employ a minute ventilation of 11.5 l/min.

摘要

对一组接受剖宫产的10名女性进行了术前肺活量测定。测得的分钟通气量作为麻醉下通气的基础。将该组患者新生儿的酸碱和血气参数与11名接受硬膜外镇痛剖宫产的女性所生婴儿的相应数据进行比较。结果发现,部分数据在控制呼吸的全身麻醉下明显优于硬膜外镇痛自主呼吸下的数据。产妇二氧化碳水平对通气参数的选择具有指导价值。如果肺活量测定初始数据和麻醉下实际pCO2值未知,建议采用11.5升/分钟的分钟通气量。

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