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1
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EFFECTS OF MEPERIDINE ON THE NEWBORN INFANT.
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Neurobehavioral responses of newborn infants after maternal epidural anesthesia.
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Obstetric meperidine usage and assessment of neonatal status.
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The determination of bupivacaine, lignocaine and mepivacaine in human blood.人血中布比卡因、利多卡因和甲哌卡因的测定。
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6
Lumbar epidural analgesia with bupivacaine in labor. Drug concentration in maternal and neonatal blood at birth and during the first day of life.分娩时布比卡因用于腰椎硬膜外镇痛。出生时及出生后第一天母婴血液中的药物浓度。
Am J Obstet Gynecol. 1975 Dec 15;123(8):839-44. doi: 10.1016/0002-9378(75)90859-5.
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Toxicity of local anesthetics in the fetus and the newborn.局部麻醉药对胎儿及新生儿的毒性
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8
Anesthesia for cesarean section IV: placental transfer and neonatal elimination of bupivacaine following epidural analgesia for elective cesarean section.
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Lumbar epidural analgesia with bupivacaine in labor. Determination of drug concentration and pH in fetal scalp blood, and continuous fetal heart rate monitoring.
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The role of analgesics in respiratory depression: a rabbit model.镇痛药在呼吸抑制中的作用:兔模型
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新生儿体内哌替啶和布比卡因的消除

Elimination of pethidine and bupivacaine in the newborn.

作者信息

Cooper L V, Stephen G W, Aggett P J

出版信息

Arch Dis Child. 1977 Aug;52(8):638-41. doi: 10.1136/adc.52.8.638.

DOI:10.1136/adc.52.8.638
PMID:921310
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1544627/
Abstract

Pethidine or an epidural injection of bupivacaine are common forms of obstetric analgesia in Britain. Bupivacaine has been thought to have little effect on the fetus, but neurobehavioural studies have cast doubt on this. We therefore investigated the elimination of these drugs by babies in similar population groups. Bupivacaine was largely eliminated in just over one day, while pethidine required between 2 and 6 days. This could account for the persisting depression in babies whose mothers had received pethidine.

摘要

在英国,哌替啶或硬膜外注射布比卡因是常见的产科镇痛方式。布比卡因一直被认为对胎儿影响很小,但神经行为学研究对此提出了质疑。因此,我们调查了相似人群组中婴儿对这些药物的清除情况。布比卡因在一天多一点的时间里基本被清除,而哌替啶则需要2至6天。这可以解释母亲使用过哌替啶的婴儿持续出现的抑制现象。