合并严重内外科疾病产妇剖宫产的麻醉管理  

Anesthesia management of maternal cesarean section with severe internal and surgical diseases

作　　者：范卫英[1] 林艺勇[1] 

机构地区：[1]福建医科大学附属龙岩第一医院麻醉科,福建龙岩364000

出　　处：《中国现代医生》2016年第32期116-118,136,共4页China Modern Doctor

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。Objective To analyze and study the anesthesia management of cesarean section in puerpera with severe internal and surgical diseases. Methods The anesthesia process of 23 puerpera of Cesarean section with severe surgical and internal diseases in our hospital from June 2006 to June 2015 was investigated, analyzed and studied. Results In addition to one case of mortality, MAP, HR, CVP and SpO_2 were substantially stable during the perioperative period under the support of vasoactive drug and close monitoring. 1-minute Apgar score was significantly affected by severe internal and surgical diseases, and 0 case scored 4 or below in 5-minute Apgar, indicating that no serious suppression was observed after neonatal resuscitation. Conclusion Maternal mortality, complications and likelihood of neonatal adverse events may be increased when the puerpera with severe internal and surgical diseases are given Cesarean section.The patients must be closely monitored, treated and managed during peri-anesthesia period, so as to minimize maternal mortality and incidene rate of complication.

关 键 词：严重内外科疾病 产妇 剖宫产 麻醉管理 

分 类 号：R614[医药卫生—麻醉学]