论文部分内容阅读
我院1983年3月至1985年3月共做剖宫产术254例。其中腹膜外层次分离剖宫产术243例,占全部剖宫产术的95.6％。现将手术方法和体会介绍如下。指征与麻醉手术指征同经腹子宫下段剖宫产术。本组硬膜外麻醉185例,局麻加强化53例,氯胺酮麻醉4例,骶麻1例。我们体会硬膜外麻醉肌松满意。患者安静。局麻加强化较为安全,适于基层医院。手术方法及体会腹膜外剖宫产术的关键在于剥离膀胱和腹膜反折,充分暴露子宫下段而又不损伤膀胱侧窝的组织。我们自从使用腹膜外层次分离剖宫产术后,都比较顺
Our hospital from March 1983 to March 1985 a total of 254 cases of cesarean section. 243 cases of cesarean section were separated by extraperitoneal separation, accounting for 95.6% of all cesarean section. Surgical methods and experience are introduced below. Indications and indications of anesthesia with abdominal abdominal cesarean section. The group of 185 cases of epidural anesthesia, local anesthesia in 53 cases, ketamine anesthesia in 4 cases, 1 case of sacral anesthesia. We appreciate the satisfaction of epidural anesthesia. Patient quiet. Local anesthesia to strengthen the more secure, suitable for primary hospitals. Surgical methods and experience Extraperitoneal cesarean section is the key to peel the bladder and peritoneal reflex, the full exposure of the lower uterine segment without damage to the side of the bladder tissue. We have been relatively smooth since using cesarean section with peritoneal isolation