分娩镇痛中转剖宫产意外异常广泛阻滞1例  

A case of accidental high neuraxial block after conversion of labor analgesia to cesarean delivery

作　　者：刘岳 特日格勒 张砡[1] 刘红菊[1] 裴丽坚[1] Liu Yue;Terigele;Zhang Yu;Liu Hongju;Pei Lijian(Department of Anesthesiology,Peking Union Medical College Hospital,Chinese Academy of Medical Sciences&Peking Union Medical College,Beijing 100730,China)

机构地区：[1]中国医学科学院,北京协和医学院,北京协和医院麻醉科,北京100730

出　　处：《国际麻醉学与复苏杂志》2024年第6期620-622,共3页International Journal of Anesthesiology and Resuscitation

摘　　要：与行择期剖宫产的产妇不同,经阴道分娩中转剖宫产的产妇不仅面临着更加紧迫的分娩异常情况,还有可能合并异常广泛阻滞的高危因素,预防和处理阻滞平面异常扩散尤为重要。尽管异常广泛阻滞的发生相对罕见,但其往往进展迅速、后果严重。文章报道1例分娩镇痛中转剖宫产后发生的异常广泛阻滞,并对椎管内麻醉后阻滞平面异常扩散的常见原因、鉴别诊断及防范措施进行讨论。Unlike women undergoing period selective cesarean deliveries,women who converted to cesarean deliveries from vaginal deliveries not only face urgent labor abnormalities,but also may be suffering from high-risk factors for abnormal extensive neuraxial block.So it is particularly important to prevent and manage abnormal diffusion of the block plane.Although the occurrence of abnormal extensive neuraxial block is relatively rare,it tends to change rapidly and is a kind of critical condition.This article reports a case of high neuraxial block after conversion of labor analgesia to cesarean delivery.The common causes,differential diagnosis,and precautions for abnormal spread of the neuraxial block are presented in discussion.

关 键 词：分娩镇痛 剖宫产术 椎管内麻醉 异常广泛阻滞 

分 类 号：R714.3[医药卫生—妇产科学]