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目的:分析探讨血小板减少症产妇剖宫术安全的麻醉方式。方法:对2008年4月~2013年4月间我院收治血小板减少症并行剖宫术的产妇21例麻醉过程回顾性分析。结果:本组研究采取局麻、小剂量氯氨酮静脉麻醉、静脉吸如复合全身麻醉的分步复合麻醉方式,所有产妇均顺利度过手术期,麻醉效果确切,无严重不良反应的发生。结论:局麻、小剂量氯氨酮静脉麻醉、静脉吸入复合全身麻醉的分步复合麻醉方式是血小板减少症产妇剖宫术麻醉方式的选择之一,具有安全性广,麻醉效果满意等优点,值得临床推广。
Objective: To investigate the safety of anesthesia for cesarean section in thrombocytopenia. Methods: A retrospective analysis of 21 cases of maternal anesthesia in our hospital from April 2008 to April 2013 with concurrent thrombocytopenia and cesarean section. Results: The study adopted local anesthesia, small doses of ketamine intravenous anesthesia, intravenous suction such as composite general anesthesia step by step composite anesthesia, all mothers have successfully passed the operation, the exact anesthesia, no serious adverse reactions. Conclusion: The method of stepwise anesthesia with local anesthesia and low-dose ketamine intravenous anesthesia and intravenous inhalation combined with general anesthesia is one of the options of anesthesia for thrombocytopenic maternal cesarean section. It has the advantages of wide safety and satisfactory anesthetic effect, Worth clinical promotion.