Mikkelsen S, Markers I, Wiberg-Jørgensen F
Anaestesiologisk afdeling, Hillerød Sygehus.
Ugeskr Laeger. 1993 Apr 19;155(16):1175-8.
Women about to undergo Caesarean section are especially prone to suffer from aspiration of acid gastric contents into the lungs during anaesthesia. Physiological changes in the pregnant patient make gastric emptying time unpredictable. It therefore seems prudent to establish procedures in order to minimize the risk of aspiration of gastric contents. This survey reveals that 25% of the obstetric-anaesthesiological departments in Denmark employ pharmacological prophylaxis for aspiration of acid gastric contents. This finding is in contrast to a similar survey in the United Kingdom, where 99 to 100% of the Caesarean sections are carried out under pharmacological prophylaxis for aspiration of acid gastric contents.
即将接受剖宫产的女性在麻醉期间特别容易出现胃酸胃内容物误吸至肺部的情况。怀孕患者的生理变化使得胃排空时间难以预测。因此,制定相关程序以尽量降低胃内容物误吸的风险似乎是明智之举。这项调查显示,丹麦25%的产科麻醉科室采用药物预防胃酸胃内容物误吸。这一调查结果与英国的一项类似调查形成对比,在英国,99%至100%的剖宫产手术是在采用药物预防胃酸胃内容物误吸的情况下进行的。