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剖宫产的脊髓麻醉。0.5%布比卡因的应用。

Spinal anaesthesia for caesarean section. The use of 0.5% bupivacaine.

作者信息

Russell I F

出版信息

Br J Anaesth. 1983 Apr;55(4):309-14. doi: 10.1093/bja/55.4.309.

DOI:10.1093/bja/55.4.309
PMID:6838744
Abstract

Subarachnoid anaesthesia was induced with 0.5% bupivacaine 2-3.5 ml in 33 women scheduled for elective Caesarean section. Three patients failed to develop adequate analgesia with bupivacaine but were managed satisfactorily with heavy cinchocaine. All the other patients developed adequate analgesia eventually. Since the spread of analgesia was uniquely dependent on posture a new hypothesis is presented to explain the distribution of intrathecal anaesthetic drugs in late pregnancy.

摘要

对33例行择期剖宫产的女性，采用0.5%布比卡因2 - 3.5毫升进行蛛网膜下腔麻醉。3例患者使用布比卡因后镇痛效果不佳，但使用高浓度辛可卡因后处理满意。其他所有患者最终均获得了充分的镇痛效果。由于镇痛范围完全取决于体位，因此提出了一个新的假说来解释妊娠晚期鞘内麻醉药物的分布情况。

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引用本文的文献

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Intra-abdominal pressure, vertebral column length, and spread of spinal anesthesia in parturients undergoing cesarean section: An observational study.产妇剖宫产术中的腹腔内压、脊柱长度和椎管内麻醉扩散：一项观察性研究。
PLoS One. 2018 Apr 3;13(4):e0195137. doi: 10.1371/journal.pone.0195137. eCollection 2018.
2
Spinal anaesthesia and gravity.脊髓麻醉与重力
Can J Anaesth. 1992 Mar;39(3):302-3. doi: 10.1007/BF03008800.
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Spinal anaesthesia with lidocaine 2% for caesarean section.剖宫产术采用2%利多卡因行脊髓麻醉。
Can J Anaesth. 1992 Nov;39(9):915-9. doi: 10.1007/BF03008339.