CAJ | 학술논문

本文报道2014年5月我科1例穿透性胎盘植入合并凶险型前置胎盘剖宫产手术椎管内麻醉的管理过程。手术顺利，胎儿成功娩出，Apgar评分1 min 4分，5 min 8分。手术时间139 min，术中出血2000 ml，围麻醉期平稳渡过。我们认为术前充分评估患者状况，充分准备，术中合理监测，维持血流动力学稳定，参考Snegovskikh的液体复苏策略，避免出现“致死性三联征”为麻醉管理要点。
본문보도2014년5월아과1례천투성태반식입합병흉험형전치태반부궁산수술추관내마취적관리과정。수술순리，태인성공면출，Apgar평분1 min 4분，5 min 8분。수술시간139 min，술중출혈2000 ml，위마취기평은도과。아문인위술전충분평고환자상황，충분준비，술중합리감측，유지혈류동역학은정，삼고Snegovskikh적액체복소책략，피면출현“치사성삼련정”위마취관리요점。
[Summary] In this paper , we reported a patient with placenta percreta combined with placenta previa who received cesarean section under intrathecal anesthesia .The fetus was delivered successfully .The Apgar scores at 1 min and 5 min were 4 and 8, respectively.The period of perianesthesia was stable , and the operation lasted for 139 min.The total blood loss was 2000 ml.The sufficient preoperative evaluation and preparation and rational monitoring during the operation were critical in order to maintain the stable hemodynamics .We followed the liquid recovery strategy of Snegovskikh for avoiding the deadly triad of hypothermia , metabolic acidosis, and coagulopathy .