| 0.75%重比重布比卡因剖宫产腰硬联合麻醉的应用 |
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| 引用本文： | 孙士全,董鉄立. 0.75%重比重布比卡因剖宫产腰硬联合麻醉的应用[J]. 河南外科学杂志, 2010, 16(4) |
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| 作者姓名： | 孙士全 董鉄立 |
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| 作者单位： | 1. 河南固始县分水中心卫生院,固始,465224
2. 郑州大学第二附属医院麻醉科,郑州,450014 |
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| 摘 要： | 目的探讨重比重布比卡因腰硬联合麻醉在剖宫产麻醉中的应用。方法选择120例剖宫产手术的产妇,ASAI-Ⅱ,行L2—3或L3—4间隙穿刺,穿刺成功后注入0.75%布比卡因重比重液1~2mL(7.5~15mg),控制麻醉平面后,测血压、脉搏、呼吸。结果麻醉起效时间为1~3min,注药后(6.3±2.2)min阻滞完善。腰骶部阻滞完善,对产妇血压的影响不超过其基础值的20%,脉搏、呼吸基本无明显影响,术后并发症少,新生儿Apgar评分(18.8±0.7)分。结论腰硬联合麻醉起效快、效果确切、肌松良好、对胎儿循环干扰小、并发症少。
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| 关 键 词： | 重比重布比卡因 腰硬联合麻醉 剖宫产 |
0.75 % Hyperbaric bupivacaine in spinal-epidurai anesthesia for cesarean section |
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| Sun Shiquan,Dong Tieli. 0.75 % Hyperbaric bupivacaine in spinal-epidurai anesthesia for cesarean section[J]. Henan JOurnal of Surgery, 2010, 16(4) |
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| Authors: | Sun Shiquan Dong Tieli |
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| Affiliation: | 1)Sun Shiquan.Gushi Fenshui Central Clinic; Gushi 465224; China 2) the Second Affilliated Hospital of Zhangzhou University; Zhongzhou 450014; China; |
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| Abstract: | Objective To observe 0.75% hyperbaric bupivacaine in spinal-epidural anesthesia for cesarean section.Methods 120 cases for caesarean section were randomly chosen,ASA Ⅰ-Ⅱ,by the L2-3 or L3-4 space puncture,after the success of re-injected into the proportion of 0.75% bupivacaine solution 1-1.5ml(7.5-15mg).After stable level of anesthesia,Patients received hemodynamic monitoring including blood pressure,HR and respiration.ResultsOnset time of anesthesia is about 1-3min,after injection 6.3±2.2min.have perfect ... |
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| Keywords: | Hyperbaric bupivacaine Spinal-epidural anesthesia Cesarean section |
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