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分娩硬膜外麻醉时大腿强力过度外展导致耻骨联合破裂。

Rupture of symphysis pubis caused by forceful and excessive abduction of the thighs with labor epidural anesthesia.

作者信息

Cappiello G A, Oliver B C

机构信息

Department of Obstetrics and Gynecology, Mease Hospitals, Dunedin.

出版信息

J Fla Med Assoc. 1995 Apr;82(4):261-3.

PMID:7775922
Abstract

Only a few cases of rupture of the symphysis pubis have been reported but the condition could become more frequent with epidural anesthesia. Conservative management is emphasized. Rupture is caused by desensitization to the labor process due to epidural anesthesia and excessive abduction of the thighs to increase anterior-posterior diameter during the birth process. Greater use of labor epidural anesthesia could increase the frequency of this event.

摘要

耻骨联合破裂仅报道过少数病例,但随着硬膜外麻醉的使用,这种情况可能会更常见。强调保守治疗。破裂是由于硬膜外麻醉导致对分娩过程的感觉迟钝,以及在分娩过程中过度外展大腿以增加前后径所致。更多地使用分娩硬膜外麻醉可能会增加该事件的发生率。

相似文献

1
Rupture of symphysis pubis caused by forceful and excessive abduction of the thighs with labor epidural anesthesia.分娩硬膜外麻醉时大腿强力过度外展导致耻骨联合破裂。
J Fla Med Assoc. 1995 Apr;82(4):261-3.
2
Symphysis pubis separation during vaginal delivery with epidural anesthesia. Case report.硬膜外麻醉下经阴道分娩时耻骨联合分离。病例报告。
Reg Anesth. 1994 Jul-Aug;19(4):289-91.
3
[Obstetrical damage to the symphysis].[耻骨联合的产科损伤]
Zentralbl Gynakol. 1993;115(10):458-60.
4
Spinal, but not epidural anesthesia, for pubic symphysis separation.用于耻骨联合分离的是脊髓麻醉而非硬膜外麻醉。
Anesth Analg. 2006 Jul;103(1):258. doi: 10.1213/01.ANE.0000215221.92967.04.
5
[Obstetrical rupture of the pubic symphysis].[耻骨联合产科性破裂]
Chir Organi Mov. 1980 Jul-Aug;66(4):527-30.
6
Epidural anesthesia and the course of labor and delivery.硬膜外麻醉与分娩过程
J Fam Pract. 1984 Feb;18(2):309-13.
7
Rupture of the symphysis pubis during labor.分娩期间耻骨联合破裂。
Clin Orthop Relat Res. 1992 Oct(283):252-7.
8
[Is rupture of the symphysis a predictable event?].[耻骨联合破裂是可预测的事件吗?]
Geburtshilfe Frauenheilkd. 1986 Mar;46(3):174-5. doi: 10.1055/s-2008-1036188.
9
[Horner syndrome following epidural anesthesia].
Rev Esp Anestesiol Reanim. 1982 Jul;29(4):212-3.
10
[Rupture of the symphysis during labor].[分娩期间耻骨联合破裂]
Feldsher Akush. 1975 Mar;40(3):29-32.

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