SOME MATERNAL COMPLICATIONS OF EPIDURAL ANALGESIA FOR LABOR
SOME MATERNAL COMPLICATIONS OF EPIDURAL ANALGESIA FOR LABOR
复制标题
DOI：
10.1111/j.1365-2044.1985.tb10664.x
复制
发表时间：
1985-01-01
期刊：
影响因子：
10.7
通讯作者：
CRAWFORD, JS
中科院分区：
文献类型：
--
作者：
CRAWFORD, JS
本文回顾了在一个产科单位连续进行的超过27000例腰椎硬膜外阻滞（不包括择期剖腹产的硬膜外麻醉和相对轻微或短暂的并发症）中遇到的产妇并发症。有9个潜在的危及生命的并发症。其中只有三起引起了对母亲安全的真实的关注。其中6例发生在麻醉师给予的jirst充值时。其他的是助产士管理的大约10万次充值中的三次。有两个严重但不危及生命的并发症每一个都导致了椎板切除术的需要。此外，有13例中度严重和17例轻度令人不安的并发症。所有相关的母亲都完全康复了。有大量的无关紧要的或假性并发症，虽然最初归咎于硬膜外，后来被证明是一个dyferent起源。考虑到这一经验，得出的结论是，严格遵守管理规则，分娩和分娩的硬膜外镇痛，包括由知识渊博的助产士补充，其特点是对母亲的安全性极高。
A review of the maternal complications encountered in a consecutive series of over 27000 lumbar epidural blocks (exclusive ofepidurals administered for elective Caesarean section and complications of a relatively minor or fleeting nature) in a single obstetric unit is presented. There were nine potentially life threatening complications. of which only three caused real concern for the mother's safety. Six of these occurred with the jirst top‐up, as given by the anaesthetist. The others were the result of three out of the approximately 100000 top‐ups administered by midwives. There were two serious, but not life‐threatening complications. each of which led to the requirement of a laminectomy. In addition, there were 13 moderately serious and 17 mildly disturbing complications. All the mothers concerned made a full recovery. There was a large number of inconsequential or pseudocomplications which, although initially blamed upon the epidural, were later demonstrated to have been of a dyferent origin. Consideration of this experience leah to the conclusion that is the rules of management are rigorously followed, epidural analgesia for labour and delivery, including topping‐up by well‐informed midwives, is characterised by an extremely high level of safety for the mother.