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腰段硬膜外镇痛后低血压

Hypotension after lumbar epidural analgesia.

作者信息

Zaaijman J D, Slabber C F

出版信息

S Afr Med J. 1978 Jun 10;53(23):944-5.

PMID:694652
Abstract

Despite preloading with fluid, a fall in the mean arterial pressure was recorded in 66% of patients after standard epidural analgesia. In 83% of patients in whom blood pressure fell, hypotension was classified as moderate or severe. In cases of severe hypotension the dermatome level of the block always surpassed T9. The maximal fall in blood pressure always occurred within the first 25 minutes after administration of the local anaesthetic agent.

摘要

尽管进行了液体预负荷,但在标准硬膜外镇痛后,66%的患者平均动脉压出现下降。在血压下降的患者中,83%的患者低血压被分类为中度或重度。在严重低血压的病例中,阻滞的皮节水平总是超过T9。血压的最大降幅总是出现在给予局部麻醉剂后的前25分钟内。

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