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chi xu ying mo wai ma zui jiang ya zhi liao ren gao zheng xing gao xue ya wei xiang de tan tao
Author(s): 
Pages: 14-16
Year: Issue:  10
Journal: Journal of Medical Research

Keyword:  妊高征持续硬膜外麻醉;
Abstract: 对经解痉、镇静无效或已临产不宜大剂量应用解痉、镇静药物的妊高征高血压危象患者38例,采用持续硬膜外麻醉的方法降压,取得了满意的临床效果。全部患者麻醉后血压下降,收缩压于麻醉后10分钟显著下降(P<0.05),舒张压于麻醉后20分钟显著下降(P<0.05),半小时后血压降至稳定状况,麻醉后30、60、及120分钟收缩压和舒张压之间无显著差异(P>0.05)。在严密的观察下,9例经阴道分娩,其中产时子痫2例,产前子痫2例,先兆子痫5例,其余29例行剖宫产终止妊娠。新生儿Apgar评分与健康孕妇组无显著差异(P>0.05)。健康孕妇麻醉后无降压作用。本方法简便易行,宜于临床推广应用。
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