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妊娠高血压综合征(妊高征)是产科难题,也是孕产妇死亡的主要原因。本文着重地妊高征的病理特点,心、脑、肝、肾机能的改变,剖宫产术麻醉前必须考虑的问题,麻醉(全麻药或局麻药)对母婴产生的影响,麻醉中可能出现的问题及其预防和处理措施进行综述,提供产科、麻醉医师参考。根据许多作者在临床中应用各种监测,研究全麻或硬膜外麻对妊高征患者的血流动力学、主要器官功能(包括胎盘绒毛血流)、婴儿/新生儿中枢神经系统、呼吸系统的影响进行比较,均作详细的论述,认为妊高征患者选择在硬膜外麻下行剖宫产术对母婴较安全。
Pregnancy-induced hypertension (PIH) is an obstetric problem and the main cause of maternal death. This article focuses on the pathological features of PIH, heart, brain, liver and kidney function changes, cesarean section must be considered before anesthesia anesthesia (anesthesia or local anesthetic) on the impact of maternal and infant may be anesthesia The emerging problems and their prevention and treatment measures are summarized, providing obstetric and anesthesiologist reference. According to many authors in clinical practice using various monitoring to study the hemodynamics, major organ function (including placental villus blood flow), infant / neonatal central nervous system, respiration The impact of the system are compared, are discussed in detail, that PIH patients choose epidural anesthesia for cesarean section on the mother and child more secure.