[氯胺酮麻醉在妇产科手术中的应用经验]
[Experiences with Ketalar anesthesia in gynecological and obstetrical operations].
作者信息
Nagy V G, Deményi M, Gaál J
出版信息
Zentralbl Gynakol. 1976;98(5):291-8.
The authors' experience with Ketalar anaesthesia applied in 483 cases has been described. The effect of the narcotic on the cardiovascular system, respiration and acid-base household is analysed in details. As stated by the authors, the narcotic is well applicable in obstetrical and gynecological small operations. By appropriate preparation the occurence of side effects can be reduced. With Shirodkar operations increase of the uterine tonus can be prevented by protective premedication. Ketalar is not recommended for the introduction of anaesthesia in cases of Caesarean section as it may increase the incidence of neonatal asphyxia.
本文描述了作者应用氯胺酮麻醉483例的经验。详细分析了该麻醉药对心血管系统、呼吸及酸碱平衡的影响。作者指出，该麻醉药适用于妇产科小手术。通过适当准备可减少副作用的发生。对于Shirodkar手术，保护性术前用药可预防子宫张力增加。不建议在剖宫产病例中使用氯胺酮诱导麻醉，因为它可能增加新生儿窒息的发生率。
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