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关于剖腹产和硬膜外麻醉的问题,本文介绍了Preston等的报告,他们在首次注入硬膜外腔的2%利多卡因中添加了芬太尼,而后追加时只注入2%利多卡因。这样产妇皆无不快感也不用辅助其它药物,且对新生儿也无副作用。但也有人主张如果将局麻药与麻醉性镇痛药混合使用时,还是以腰麻的方法为好。Abouleish等报告将0.2mg的吗啡加入重比重的丁哌卡因中施行腰麻,术中不用任何镇痛药而止痛效果可达27小时并对母婴不产生任何重要副作用。但对发生的瘙痒感、嗳气、呕吐等症状应充分注意。本文仅介绍剖腹产术中有关问题。在剖腹产术中因硬膜外注入吗啡引起口唇单纯疱疹(HSVL)的问题,Crone等在1985年报告是占9.7%。而G ieraerts等的报告是34.6%,瘙痒症
Regarding caesarean section and epidural anesthesia, this article presents a report by Preston et al., Who added fentanyl to 2% lidocaine infused into the epidural space for the first time, followed by 2% lidocaine infusion. Such mothers are neither unpleasant nor assist other drugs, and no side effects on newborns. However, some people claim that if the local anesthetic is mixed with narcotic analgesics, it is better to use spinal anesthesia. Abouleish et al reported that 0.2 mg of morphine was added to bupivacaine of the highest specific gravity for spinal anesthesia without intraoperative analgesia and analgesic effect of up to 27 hours without any important side effects on mother and baby. But the sense of itching, belching, vomiting and other symptoms should pay full attention. This article describes only the caesarean section in the relevant issues. In her caesarean section, morphine induced herpes simplex (HSVL) herpes labialis, which was reported by Crone et al. In 1985 (9.7%). The Gieraerts and other reports is 34.6%, pruritus