分娩镇痛中转剖宫产意外异常广泛阻滞1例
A case of accidental high neuraxial block after conversion of labor analgesia to cesarean delivery
刘岳 1特日格勒 1张砡 1刘红菊 1裴丽坚1
作者信息
- 1. 中国医学科学院,北京协和医学院,北京协和医院麻醉科,北京 100730
- 折叠
摘要
与行择期剖宫产的产妇不同,经阴道分娩中转剖宫产的产妇不仅面临着更加紧迫的分娩异常情况,还有可能合并异常广泛阻滞的高危因素,预防和处理阻滞平面异常扩散尤为重要.尽管异常广泛阻滞的发生相对罕见,但其往往进展迅速、后果严重.文章报道1例分娩镇痛中转剖宫产后发生的异常广泛阻滞,并对椎管内麻醉后阻滞平面异常扩散的常见原因、鉴别诊断及防范措施进行讨论.
Abstract
Unlike women undergoing period selective cesarean deliveries,women who converted to cesarean deliveries from vaginal deliveries not only face urgent labor abnormalities,but also may be suffering from high-risk factors for abnormal extensive neur-axial block.So it is particularly important to prevent and manage abnormal diffusion of the block plane.Although the occurrence of ab-normal extensive neuraxial block is relatively rare,it tends to change rapidly and is a kind of critical condition.This article reports a case of high neuraxial block after conversion of labor analgesia to cesarean delivery.The common causes,differential diagnosis,and precautions for abnormal spread of the neuraxial block are presented in discussion.
关键词
分娩镇痛/剖宫产术/椎管内麻醉/异常广泛阻滞Key words
Labor analgesia/Cesarean delivery/Intrathecal anesthesia/High neuraxial block引用本文复制引用
出版年
2024
NETL
NSTL
万方数据