剖宫产全麻

剖宫产全麻 INFORIGNMDILTRTMNT ?l?6?????l?6???? 2008NO.21 CHINAFOREIGNMEDICALTREATMENT ?=?????????H??2004??1?D~2008??6?D4???3?????????? ???-???)??????????12??????cN?????????)?4?????????L?????8 ?D????????cN?????????????2???[,???p?????.?????9,?????????? ?????????pcN 1?????.???? 2004??1?D~2007??11?D?H???????????????-482??,???l ???)?4?????????L?????8?D?????????R??12??,?????????????? 2.48%cN ?=??????????22~38??,ASA?G??i?~i???,???l:???????? ?N???R8??,?(?????t?????????D??1??,?T?.?(???????8?????. ????????????2??,?????6?????o?(??????????1??cNMaLLampati ?G??:i???5??,i???6??,i???1??cN ????????:?(???-??????6?1??,?????.?????SBP,SPO2,ECG ????,?????T?????????L?3??,?????????????????O??cN?0?????? ?????????????n?4(5~6L/min)???-?R?????????.?????????? ??????????cN?????.???-?0??????cN???????????)??????0.5mg, ?%????1.5~2mg/kg,?(??????1~2mg/kg,???k??0.1~0.2F?g/kgcN???? ????(2.5??0.3)mincN???????????)?????????O???????y???????? ??cN???????8??????????cN?????.??PEETCO2?????????????? ???????9????,??IPPV,I/E=1/2,???4??8~10ml/kg,???????? 10~12?i/?GcN ?????.????0.5tc~1tc?N?p?????I????,?????????c?????g?? ????(8.7??2.2)min,?????g???.???????H???????9?g?????9,???? ?????N?p??,???)?????%????,??30~40?G?????????????k??0.1t4 0.2F?g/kg????????????0.02mg/kg???I?I????cN???-????,???????? ?R??????????????cN 2???? ???????????????[,???????1,?????C?????????????pcN?-?.?? ?????-?l????cN11?????p??Apgar???G?n??8?G,1?????p??????, ???????p???????????t???????l???1??,???????.???G?n??8?GcN ?-?l?????9?g?????9,??????(220??40)mLcN?-?.????????,?R???? ??,?????I??????cN 3???? ???????????L???????????I???????6?????6?T???8?D?????6 ????,???)?.?????????L?????6?o?(,?????????-???p???8???1?L ????????????,?????L??????????cN?0?????????)?????????n???? ?o?-???????????????p???????9cN?%??????????,???????[,?????? ?p,????cN?????????.,?%?????????????)???????????????l???c?? ??cN?????C???L???C???L?l?%???????????????????????????????? ??-?????g??????,????,????????-?????g???????)10?G???? ??,???i???)?%????2mg/kg?-??????cN?????H?????????-???-?R?? ???????.????????????????????,?????.???-?0??????,???????L ???????9????-?????g???????)10?G??????cN ?-???(??????,???????????)?????????O????,?8???????3?4 ?????)???)McCoy???????4???????g???????????????????y???? ??????cN?)?????g?????????N?p??,?????H?)?6?8?)???k???????H ???????????????9cN ?????g???.?????8???p???????????????9?g??????,?????N?p ??,???)?????%????,???????????k???????????????I????,???L?? ?y???-?l???????0???-?l????cN ???????????9?8?-???????????????L????,???-?)???????.?? ???????6?.?????????o?(?????-?????F??????????????????[4,5] cN?o ???????????)???????????L??????,???????[,?????n??,?????? ?p.???????7??,?????L???????)?n?(??????(???????n????,???? ???t?????????D??,??????????????)?????L????????,???????? ?????????G?g,?????????p??cN???????????????G???8??,???????? ?????-?????c,???M???O?????????M??????,???n?????????????? ????cN ???F???r [1]?o????,?????2,???g??.???t?D?????1?????H???????-?????????? ?G[J].?]????????????,2004,20(2):115-116. [2]??????,????,???3,??.????????????????????157???G??[J].?]?? ??????????,2004,20(3):174-175. [3]??????,?????.,??????,??.?%?????-?????8?D?????)?????????-?l ?????)[J].?]????????????,2004,20(3):184. [4]?H????,?H??,????.?8?0???????.?????????)???????????-?????? ????[J].?l?????????p,2007,45(2):56. [5]???=?3,???:.??-?????D?????)???????-?l?????)[J].?l???????? ??,2006,3(23):94. (?9?????p6) ?????????? ?????? (?J???I?????????H???????????J??????550200) cC????cH?????????????????)??????????????????????????cN?????????H??????????? ??l???)??????????????12??,???? ?4?????????L?????8?D????,???????%????,?(??????,????????,???k??????,?H??????? N?p??,?????????????????????????? ??cN???????????[,???????1,?????C?????????????p,???-?l????,??????Apgar???G???.? ?????,???????9?g?????9cN?????? ???????????????????L?)??????????????cN cC???r??cH?????????? cC?l???G????cHR719.8cC???r?M???IcHAcC?????6??cH1674-0742(2008)07(c)-013 4-01 ?]?????? 3CHAEECAEAE :2008-0-19 14