摘要
目前椎管内麻醉仍是剖宫产麻醉的主要方式,但对于椎管内麻醉有禁忌证者、产妇拒绝椎管内麻醉以及危重产科(重度子痫前期、HELLP综合征、妊娠合并严重心脏病等)等情况,全身麻醉仍然是一种必要的选择。剖宫产全身麻醉主要考虑母体和胎儿2个方面,母体方面主要考虑气管插管困难和返流误吸,胎儿方面主要考虑麻醉及药物对胎儿、新生儿的影响。
Neuraxial anaesthesia is the mainstream in obstetric anaesthesia. However,general anaesthesia is necessary for caesarean section in certain circumstances. These include category one emergency caesarean section,patients with severe pre-eclampsia and HELLP syndrome or certain cardiac diseases or patients who are contraindicated or refusal of regional anaesthesia. General anaesthesia affects both mother and fetus. Considerations for general anaesthesia on parturients are potential difficult airway and aspiration. For fetus,side effects of anaesthetic drugs on newborns via maternal blood are the main concerns.
作者
姚伟瑜
林天文
李师阳
YAO Weiyu;LIN Tianwen;LI Shiyang(Department of Anesthesiology and Perioperative Medicine,Quanzhou Macare Women’s Hospital,Quanzhou 362000,Chin)
出处
《麻醉安全与质控》
2018年第3期169-173,共5页
Perioperative Safety and Quality Assurance
关键词
产科全身麻醉
剖宫产
气道管理
返流误吸
general anesthesia in obstetrics
cesarean section
airway management
regurgitation and aspiration
