合并严重内外科疾病产妇剖宫产的麻醉管理

发布时间：2018-06-27 14:56

本文选题：严重内外科疾病 + 产妇　；参考：《中国现代医生》2016年32期

【摘要】：目的研究合并严重内外科疾病产妇剖宫产的麻醉管理。方法检索我院2006年6月~2015年6月23例合并严重内外科疾病产妇的剖宫产麻醉过程资料,并对其进行分析研究。结果除1例死亡外,其余产妇在严密监测和血管活性药物的支持下,围手术期MAP、HR、CVP和SpO_2基本稳定。合并内外科疾病对新生儿1 min评分有明显影响,而5 min评分4分及以下比例为0,说明经新生儿复苏后无严重抑制。结论合并严重内外科疾病的产妇行剖宫产时,术中出现产妇死亡、并发症及新生儿不良事件的可能性增加,必须在围麻醉期对患者进行严密监测、治疗和调控,尽可能降低产妇的死亡率和并发症的发生率。
[Abstract]:Objective to study the anesthetic management of cesarean section in parturient with severe internal and surgical diseases. Methods data of 23 cases of cesarean section in our hospital from June 2006 to June 2015 were searched and analyzed. Results except for one death, the other puerperas were closely monitored and supported by vasoactive drugs, and the CVP and SpO-2 were stable in perioperative period. The combined internal and surgical diseases had a significant effect on the neonatal 1 min score, while the 5 min score of 4 or below was 0, indicating that there was no serious inhibition after neonatal resuscitation. Conclusion during cesarean section, maternal death, complications and adverse neonatal events are more likely to occur during cesarean section in women with severe medical and surgical diseases. It is necessary to closely monitor, treat and control the patients during the perianaesthesia period. Minimize maternal mortality and the incidence of complications.
【作者单位】：福建医科大学附属龙岩第一医院麻醉科;
【分类号】：R614

【相似文献】