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麻黄素在预防剖宫产手术患者仰卧综合征中应用的临床观察
引用本文:樊育华 黄丹. 麻黄素在预防剖宫产手术患者仰卧综合征中应用的临床观察[J]. 中华医护杂志, 2007, 4(4): 320-320
作者姓名:樊育华 黄丹
作者单位:湖南省常德市妇幼保健院麻醉科,湖南常德415000
摘    要:剖宫产手术患者因巨大子宫压迫腹主动脉,再加上麻醉药物致使交感神经抑制,部分血管扩张的作用使得患者回心血量急剧下降,因此仰卧综合征的发生率较高,为防止仰卧综合征的发生,常规采取左侧卧床30°左右,但仍然存在时有仰卧综合征的发生,除常规方法预防外,另采取当患者平卧时即刻给予麻黄素5-10mg静脉推注,起到了很好的临床效果,未见仰卧综合征的发生。

关 键 词:剖宫产 仰卧综合征 左侧卧位30°   麻黄素
文章编号:1812-7851(2007)04-0320-01
修稿时间:2007-02-25

Ephedrine Used for the Prophylaxis of Supine Hypotensive Syndrome in Caesarean Section Patients
Fan Yuhua, Huang Dan. Ephedrine Used for the Prophylaxis of Supine Hypotensive Syndrome in Caesarean Section Patients[J]. Chinese Journal of Medicine and Nursing, 2007, 4(4): 320-320
Authors:Fan Yuhua   Huang Dan
Affiliation:Anesthesiology of Changde City Maternal and Child Health Hospital in Hunan Province, Changde Hunan 415000, China
Abstract:In caesarean section patients, gigantic uterus compressed abdominal aorta and the anesthetic produced partial vasodilatation by inhibiting action on sympathetic nerve, resulting in an abrupt decrease in returned blood volume, and thereforethey had a slightly high incidence rate for supine hypotensive syndrome. Although conventional administration of 30-degree left recumbent position to prevent the occurrence of the syndrome, it was appeared on occasion. In this paper, immediate intravenous bolus injection of ephedrine of 5-10mg when patients lying in horizontal position in addition to adopting traditional prophylactic method achieved favorable clinical results, in the absence of the syndrome occurrence.
Keywords:Caesarean section patients   Supine hypotensive syndrome   30-degree left recumbent position   Ephedrine
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