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剖宫产术中仰卧位低血压综合征的原因分析及对策

Reason analysis and countermeasures of supine hypotensive syndrome in cesarean section

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【作者】 王忠义张同军靳红绪王福朝刘志永

【Author】 WANG Zhong-yi;ZHANG Tong-jun;JIN Hong-xu;WANG Fu-chao;LIU Zhi-yong;Department of Anesthesiology,Harison International Peace Hospital Affiliated to Hebei Medical University;

【机构】 河北医科大学附属哈励逊国际和平医院麻醉科

【摘要】 仰卧位低血压综合征(SHS)是由于妊娠晚期巨大的妊娠子宫压迫下腔静脉,导致回心血量减少而发生的临床综合征。随着剖宫产手术比例的升高,手术中发生SHS的比例也逐渐增加,严重者会影响产妇的身体健康甚至新生儿的生命安全。本文分析了SHS发生的病理基础、原因、可能发生的情况,并且分析了剖宫产术中SHS的易发因素,提出了剖宫产术中防治SHS的措施,以减少剖宫产术中SHS的发生。

【Abstract】 Supinehypotensive syndrome(SHS) refers to the clinical syndrome that during late trimester of pregnancy,the inferior vena cava is pressed byhuge pregnant uterus leading to reduced venous return.With an increased propor-tion of cesarean section,the supinehypotension is frequently occurred in operation.The occurrence of severe SHS willhave some influence on maternalhealth and even the lives of newborns.The article analyzes the pathological basis,eti-ology,and possible situations as well as prone factors of SHS during cesarean section,and put forward some countermea-sures in order to reduce the incidence of SHS.

  • 【文献出处】 中国当代医药 ,China Modern Medicine , 编辑部邮箱 ,2013年30期
  • 【分类号】R719.8
  • 【被引频次】7
  • 【下载频次】55
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