椎管麻醉硬膜外腔出血临床处理分析  

作　　者：李俊芳[1] 

机构地区：[1]四川省蒲江县人民医院麻醉科,四川蒲江611630

出　　处：《医学与社会》2015年第B06期210-210,共1页Medicine and Society

摘　　要：目的：对椎管麻醉硬膜外腔出血的临床处理效果进行分析和探讨。方法：收集我院2014年1月至2015年1月期间的40例硬膜外麻醉剖宫产手术患者，对患者进行硬膜外的椎管麻醉，根据硬膜外出血的具体出血量在患者的硬膜外腔注射0．4到1．0U的血凝酶，观察其止血的效果，同时注意确定其是否有一定的副作用。结果：通过硬膜外腔注入血凝酶，最小剂量是0．4U，6分钟以后止住了出血；最大剂量为1．0U，15分钟以后导管内没有血液流入注射器中。而且经过观察和随访，患者没有发生血肿压迫神经的症状。结论：多次小剂量注入血凝酶对于硬膜外出血的治疗效果比较好，而且没有其他的副作用，可以进行临床推广应用。Objective： to the clinical treatment of vertebral canal anesthesia epidural space bleeding effect is analyzed and discussed. Methods ： collected from January 2014 to January 2015 in 40 patients with epidural anesthesia for cesarean delivery operation, sedation of patients with epidural anesthesia, according to the specific of epidural blood out of the bleeding in patients with epidural cavity injection of 0. 4 to 1.0 U blood clotting enzyme, observe the hemostatie effect, at the same time pay attention to ~ee if it has certain side effects. Results ： through the epidural cavity injection of blood clotting enzyme, minimum dose is 0. 4 U, 6 minutes later stopped bleeding; The maximum dose of 1.0 U, 15 minutes later intra- ductal no blood into the syringe. And through the observation and follow- up, no hematoma in patients with symptoms of oppressive nerve. Conclusion： multiple small dose injection of blood clotting enzyme to the treatment effect of epidural blood out is better, and there is no other side effects, clinical application and dissemination.

关 键 词：椎管麻醉硬膜外腔出血 临床处理 分析 

分 类 号：R614.42[医药卫生—麻醉学]