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产科全身麻醉的新进展
引用本文:黄星辉. 产科全身麻醉的新进展[J]. 医学综述, 2014, 20(18): 3383-3384
作者姓名:黄星辉
作者单位:福建医科大学教学医院泉州市妇幼保健院·儿童医院麻醉科,福建泉州362000
摘    要:目前椎管内麻醉仍是产科麻醉的主流,但对于急诊危重产科(重度子痫前期、HELLP综合征、妊娠合并严重心脏病等)、椎管内麻醉有禁忌或产妇拒绝椎管内麻醉等情况,全身麻醉(全麻)仍然是一种必要的选择。产科全麻主要考虑母体和胎儿两个方面,对于母体主要考虑的问题是插管困难和如何防止反流误吸,对胎儿主要考虑麻醉及药物对胎儿和新生儿的影响。

关 键 词:产科全麻  产妇呼吸道  反流误吸

Recent Progress in Obstetric General Anesthesia
HUANG Xing-hui. Recent Progress in Obstetric General Anesthesia[J]. Medical Recapitulate, 2014, 20(18): 3383-3384
Authors:HUANG Xing-hui
Affiliation:HUANG Xing-hui(Department of Anesthesia, Quanzhou Women's and Children's Hospital/the Teaching Hospital of Fujian Medical University, Quanzhou 362000, China)
Abstract:At present,neuraxial anesthesia is still the mainstream in the obstetric anesthesia.However,when it refers to emergency delivery(severe pre-eclampsia,HELLP syndrome or pregnancy with severe cardiac disease etc.),contraindications with neuraxial anesthesia or parturienst who refuse neuraixal anesthesia,general anesthesia is still necessmy.The two aspects of parturient and fetus need to be considered for obstetric general anesthesia.For parturient,the problems of difficult intubation and how to prevent regurgitation and aspiration are mainly considered,and for fetus,the effects of anesthesia and drugs for the fetus and newborns are mainly considered.
Keywords:Obstetric general anesthesia  Parturient airway  Regurgitation and aspiration
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