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目的分析剖宫产术后硬膜外镇痛导致锥体外系反应并发症的原因,提高临床应用的安全性。方法回顾性对793例剖宫产术后镇痛导致锥体外系反应并发症的原因进行分析、总结。结果发生锥体外系反应8例,发生率为1.01%。大汗淋漓8例,表情淡漠、眼球上翻、凝视、闭目困难6例,失语4例,嘴角流涎、痉挛性斜颈、张口困难、肢体舞动、肌肉僵硬、角弓反张3例,失明、昏迷1例。结论氟哌利多用于术后镇痛可导致锥体外系反应,临床上应引起重视。
Objective To analyze the causes of extrapyramidal analgesia after cesarean section and to improve the safety of clinical application. Methods Retrospective analysis of 793 cases of caesarean section postoperative analgesia causes the causes of extrapyramidal complications were analyzed and summarized. Results of extrapyramidal reactions occurred in 8 cases, the incidence was 1.01%. Sweating 8 cases, indifferent expression, eye upturned, stare, closed eyesight difficulties in 6 cases, aphasia in 4 cases, mouth drooling, spasmodic torticollis, mouth pain, limb galloping, muscle stiffness, angle arch anti-Zhang 3 cases, , Coma in 1 case. Conclusion Droperidol used in postoperative analgesia can cause extrapyramidal reactions, should pay attention to the clinical.