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目的探讨PAT患者在剖宫产术中的可行性方法。方法正常孕妇组、血小板>80×10~9/L组、血小板50～80×10~9/L组采用不同麻醉方法及处理方式,观察术中、术后疼痛感、平均手术时间、术中出血量、术后肛门排气时间、新生儿Apgar评分的异同点。结果血小板正常组及血小板减少组在不同麻醉方法下均顺利完成手术,且术中疼痛感,平均手术时间,出血量,术后肛门排气时间,新生儿Apgar评分均无明显差异。结论在急诊剖宫产术中对PAT患者根据血小板数不同采用不同麻醉方法及处理方式,简便易行,麻醉风险减少,疼痛度小,出血量无明显增加,新生儿Apgar评分与正常组无明显差异。
Objective To investigate the feasibility of PAT in cesarean section. Methods The normal pregnant women, platelets> 80 × 10 ~ 9 / L group, platelets 50 ~ 80 × 10 ~ 9 / L group were anesthetized by different methods and treatment methods were observed intraoperative and postoperative pain, the average operation time, intraoperative Bleeding, postoperative anal exhaust time, Apgar score similarities and differences. Results The platelet normal group and thrombocytopenia group underwent successful operation under different anesthesia methods. There was no significant difference in intraoperative pain, average operation time, bleeding volume, postoperative anal exhaust time, neonatal Apgar score. Conclusions In emergency cesarean section, different anesthesia methods and treatment methods are used according to the number of platelets in patients with PAT, which is simple and easy to operate. The risk of anesthesia is reduced, the pain is small and the amount of bleeding is not increased obviously. Apgar score in neonates has no significant difference with normal group difference.