论文部分内容阅读
腰麻下腹部手术时的恶心和呕吐对病人是很不利的,而且给手术操作造成困难。呕吐或干呕可致横膈强力收缩,腹内容物膨出,甚至内脏穿孔。饱胃病人还有误吸的危险。腰麻期间的恶心和呕吐乃由精神紧张以及与低血压同时发生的中枢神经系统缺氧、内脏牵拉、辅助麻醉性镇痛剂,麻醉平面不当等因素所致。氟哌啶是一种强力的丁酰苯类镇静药,也有强的镇吐作用。术前或全身麻醉时使用可减少术后恶心和呕吐的发生率,但至今尚无剖腹产期间用其预防和治疗恶心呕吐的报告,故而作者作了这一尝试,并收到了预期效果。作者将50例在腰麻下行择期剖腹产术的孕妇分为两组:Ⅰ组为氟哌啶组,Ⅱ组为对照组,各25
Nausea and vomiting during spinal surgery under spinal anesthesia are very detrimental to the patient and pose difficulties to the surgical procedure. Vomiting or retching can cause strong contraction of the diaphragm, abdominal contents bulging, and even visceral perforation. Suffer stomach patients also have the risk of aspiration. Nausea and vomiting during spinal anesthesia are caused by mental stress and central nervous system hypoxia, visceral traction, assisted narcotic analgesics, and improper anesthesia in the hypotension. Droperidol is a potent butyrophenone sedative, but also has a strong antiemetic effect. Preoperative or general anesthesia to reduce the incidence of postoperative nausea and vomiting, but so far there is no report of prevention and treatment of nausea and vomiting during caesarean section, so the author made this attempt and received the desired results. In this study, 50 pregnant women undergoing elective caesarean section under spinal anesthesia were divided into two groups: group I was haloperidol, group II was control, and group 25