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分娩镇痛中转剖宫产意外异常广泛阻滞1例

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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.
A case of accidental high neuraxial block after conversion of labor analgesia to cesarean delivery
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.

Labor analgesiaCesarean deliveryIntrathecal anesthesiaHigh neuraxial block

刘岳、特日格勒、张砡、刘红菊、裴丽坚

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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

分娩镇痛 剖宫产术 椎管内麻醉 异常广泛阻滞

2024

国际麻醉学与复苏杂志
中华医学会,徐州医学院

国际麻醉学与复苏杂志

CSTPCD
影响因子:0.909
ISSN:1673-4378
年,卷(期):2024.45(6)
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