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硬膜外阻滞是剖宫产手术较为理想的麻醉方法,我科1993年2月—1996年3月,采用硬膜外麻醉剖宫产手术107例,现报道如下.1 临床资料1.1 一般资料 本组产妇年龄18～45岁,平均31.5岁.首次剖宫产89例;二次剖宫产18例.其中有妊高症15例;前置胎盘10例;臀位18例;足位2例;巨大儿16例;双胎2例.1.2 麻醉方法 取右侧卧位,择L_(2～3)间隙穿刺,头向置管3.5cm,选用1%利多卡因和0.25%丁卡因混合液,内含1:20万肾上腺素(妊高症除外).1.3 结果 本组产妇均安全度过麻醉期,手术经过顺利,仅1例胎儿宫内窒息死亡.2 讨论
Epidural block is an ideal anesthesia cesarean section method of anesthesia, our department February 1993-March 1996, epidural anesthesia in 107 cases of cesarean section, are reported as follows.1 Clinical data 1.1 General Information The group of maternal age 18 to 45 years old, average 31.5 years old .89 cases of first cesarean section; second cesarean section in 18 cases .Pregnancy-induced hypertension in 15 cases; placenta previa in 10 cases; breech 18 cases; foot 2 Cases of macrosomia in 16 cases, twins in 2 cases .1.2 anesthesia to take the right lateral decubitus, choose L_ (2 ~ 3) gap puncture, head to tube 3.5cm, the choice of 1% lidocaine and 0.25% tetracaine Mixed solution, containing 1: 200000 epinephrine (except pregnancy-induced hypertension) .1.3 results of this group of women were safely under anesthesia, the operation went smoothly, only 1 case of fetal death in asphyxia.2 Discussion