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妊娠母羊硫喷妥钠-氧化亚氮麻醉后胎儿发育不良

Foetal deterioration following thiopentone-nitrous oxide anaesthesia in the pregnant ewe.

作者信息

Palahniuk R J, Cumming M

出版信息

Can Anaesth Soc J. 1977 May;24(3):361-70. doi: 10.1007/BF03005109.

DOI:10.1007/BF03005109
PMID:871939
Abstract

Six pregnant sheep were chronically prepared with indwelling catheters in maternal and foetal vessels and a flow probe around a maternal uterine artery. They were anaesthetized the following day with thiopentone and nitrous oxide (70 per cent)--oxygen (30 per cent) maintenance with tracheal intubation. Maternal uterine blood flow fell about 20 per cent following induction of anaesthesia. This resulted from uterine vasoconstriction which, in turn, probably resulted from maternal catecholamine release during light anaesthesia. The foetus in utero developed a mixed metabolic and respiratory acidosis and a fall in oxygen saturation. The possibility that light maternal anaesthesia increases rather than decreases neonatal depression is discussed.

摘要

六只怀孕的绵羊长期在母体和胎儿血管中留置导管,并在母体子宫动脉周围放置流量探头。第二天,它们用硫喷妥钠和一氧化二氮(70%)-氧气(30%)进行麻醉,并通过气管插管维持。麻醉诱导后,母体子宫血流量下降了约20%。这是由子宫血管收缩引起的,而子宫血管收缩反过来可能是由于轻度麻醉期间母体儿茶酚胺释放所致。子宫内的胎儿出现了混合性代谢性和呼吸性酸中毒以及氧饱和度下降。本文讨论了轻度母体麻醉增加而非减少新生儿抑制的可能性。

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引用本文的文献

1
The effects of general anaesthesia on the asphyxiated foetal lamb in utero.全身麻醉对子宫内窒息胎羊的影响。
Can Anaesth Soc J. 1985 Nov;32(6):577-82. doi: 10.1007/BF03011402.

本文引用的文献

1
Nomograms and empirical equations relating oxygen tension, percentage saturation, and pH in maternal and fetal blood.关于母体和胎儿血液中氧张力、氧饱和度百分比及pH值的列线图和经验方程。
Am J Obstet Gynecol. 1961 Feb;81:377-84. doi: 10.1016/s0002-9378(16)36380-3.
2
Observations on pentothal, nitrous oxide, and succinylcholine anesthesia at cesarean section.剖宫产术中硫喷妥钠、氧化亚氮及琥珀酰胆碱麻醉的观察
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Blood gas calculator.血气计算器。
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Acid-base studies in elective caesarean sections during epidural and general anaesthesia.硬膜外麻醉和全身麻醉下择期剖宫产的酸碱研究
Can Anaesth Soc J. 1971 Jan;18(1):60-71. doi: 10.1007/BF03025427.
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The cardiovascular and sympathomimetic responses to the addition of nitrous oxide to halothane in man.人体中一氧化二氮添加到氟烷时的心血管及拟交感神经反应。
Anesthesiology. 1970 May;32(5):410-21. doi: 10.1097/00000542-197005000-00007.
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Anaesthesia for Caesarean section. An evaluation of a method using low concentrations of halothane and 50 per cent of oxygen.
Br J Anaesth. 1970 Feb;42(2):136-42. doi: 10.1093/bja/42.2.136.
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Neonatal acidaemia related to procrastination at Caesarean section.剖宫产术中拖延导致的新生儿酸中毒
J Obstet Gynaecol Br Commonw. 1971 Nov;78(11):1010-23. doi: 10.1111/j.1471-0528.1971.tb00219.x.
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Anaesthesia for Caesarean section. Analysis of blood concentrations of methoxyflurane using 0.1 per cent methoxyflurane and 40 per cent oxygen.
Br J Anaesth. 1972 Oct;44(10):1050-6. doi: 10.1093/bja/44.10.1050.
10
Maternal and fetal cardiovascular and acid-base changes during halothane and isoflurane anesthesia in the pregnant ewe.妊娠母羊在氟烷和异氟烷麻醉期间母胎心血管及酸碱变化
Anesthesiology. 1974 Nov;41(5):462-72. doi: 10.1097/00000542-197411000-00010.