Wessén A, Elowsson P, Axemo P, Lindberg B
Department of Anesthesiology and Intensive Care, University Hospital, Uppsala, Sweden.
Acta Anaesthesiol Scand. 1995 Aug;39(6):847-9. doi: 10.1111/j.1399-6576.1995.tb04183.x.
A patient with a twin pregnancy was in preterm labour after 25 gestational weeks when, during vaginal delivery of the second twin, severe spasm of the cervix and fetal bradycardia ensued. Induction of general anesthesia did not relax the cervix. After bolus doses of nitroglycerin 100 + 50 micrograms i.v., prompt cervico-uterine relaxation was obtained allowing manual extraction of the baby. A short review of the literature and a summary of our experience in the administration of nitroglycerin i.v. in obstetrics are presented.
一名双胎妊娠患者在孕25周后出现早产，在经阴道分娩第二个胎儿时，宫颈发生严重痉挛并出现胎儿心动过缓。全身麻醉诱导未能使宫颈松弛。静脉注射100 + 50微克硝酸甘油推注剂量后，迅速获得宫颈-子宫松弛，从而能够徒手娩出胎儿。本文对文献进行了简要回顾，并总结了我们在产科静脉应用硝酸甘油的经验。
