摘要
目的探讨妊娠高血压综合征(pregnancy-induced hypertension syndrome,PIH,简称妊高征)的剖宫产与麻醉相关问题。方法对60例妊高征(轻度8例、占13.33%,中度42例、占70.00%,重度10例、占16.66%)依据病情程度,分别经保守治疗,病情稳定,且具产科指征,全选用硬膜外麻醉下行剖宫产,术中监测和观察麻醉效果、生命体征、出血量、输液量、尿量及新生儿Apgar评分。结果由于术前有效调控准备,适时把握产科指征,恰当施用硬膜外麻醉及术中监测与处置,保证了60例妊高征剖宫产与麻醉顺利成功。结论正确认识妊高征疾病,积极对症处理,把握好产科指征,恰当选用硬膜外麻醉及术中监测与处理,即不难获得妊高征剖宫产与麻醉的成功及母子安全。
Objective To discuss about questions concerning Cesarean Section and Anesthesia on Pregnancy-Included Hypertension Syndrome（PIH）.Methods Grade 60 cases（8 mild cases accounting for 13.33%,42 moderate cases accounting for 70.00%,severe cases accounting fort6.66% in total） based on patient＇s conditions,considering these factors in order as following：conservative treatment, patient＇s stable condition,obstetrical symptom,adopting general epidural anesthesia in the cesarean section,monitering during the operation,observing anesthesia effect,physical sign, the amount of bleeding,the amount of transfusion, urine amount,neonatal Apgar Results The 60 cases of cesarean section and anesthesia of PHI are successful,owing to effective preparation before the operation, obstetrical symptom control in due time,appropriate epidural anesthesia adoption,monitoring and disposition during the operation. Conclusion It＇s not difficult to obtain the success in cesarean section and anesthesia on pregnancy-included hypertension syndrome after the process of right understanding of this symptom,positively dealing with it,well controlling of obstetrical symptom and appropriate epidural anesthesia adoption,monitering and disposition during the operation.
出处
《中外医疗》
2008年第33期7-8,共2页
China & Foreign Medical Treatment
关键词
妊高征
剖宫产
麻醉
Pregnancy-induced hypertension syndrome（PIH）
Caesarean birth
Anaesthesia
