论文部分内容阅读
蛛网膜下腔麻醉因其可以避免硬膜外置管,减少椎管内血肿风险的发生,为重度子痫前期患者剖宫产分娩常用的麻醉方式之一。重度子痫前期患者在蛛网膜下腔麻醉过程中低血压的发生率虽然高于硬膜外麻醉,但其发生率和严重程度常低于正常孕产妇,且更易于处理,时程较短,与硬膜外麻醉的临床结局并无显著差异。本文主要针对重度子痫前期患者应用蛛网膜下腔麻醉的相关利弊进行综述,并阐述术中血流动力学特点及术中管理的相关临床证据,以期为重度子痫前期患者的麻醉管理及护理提供一定的理论基础。
Subarachnoid anesthesia because it can avoid epidural catheter, reduce the risk of spinal hematoma occurred, for severe preeclampsia cesarean section labor commonly used anesthesia. Although the incidence of hypotension in patients with severe preeclampsia during subarachnoid anesthesia is higher than that of epidural anesthesia, its incidence and severity are often lower than those of normal pregnant women and are easier to handle with shorter duration, There was no significant difference in clinical outcome with epidural anesthesia. This review focuses on the pros and cons of subarachnoid anesthesia in patients with severe preeclampsia, and describes the intraoperative hemodynamic characteristics and intraoperative management of clinical evidence to provide anesthetic management and nursing care for patients with severe preeclampsia Provide a certain theoretical basis.