在分娩期间无意穿刺腹膜的并发症 - - 腹膜止痛:一项10年后期的观察性研究
S Poma1, M C Bonomo2, G Gazzaniga3
1Anaesthesia and Postoperative Intensive Care, Department of Anaesthesia and Intensive Care 3, I.R.C.C.S. Policlinic San Matteo Hospital Foundation, Pavia, 27100, Italy. silviapoma@yahoo.com.
Journal of anesthesia, analgesia and critical care
|October 26, 2023
概括
在分娩过程中无意的长期穿刺外周止痛可以导致并发症. 虽然重大产后事件很少发生,但产后头痛和神经症状很常见,需要长时间住院进行监测.
科学领域:
- 产科和妇科 产科和妇科
- 麻醉学 麻醉学
- 神经学 神经学
背景情况:
- 不故意的腹腔穿刺 (UDP) 导致0.5-1.5%的分娩并发症.
- 关于UDP相关并发症的证据有限,特别是产后.
- 这项研究调查了UDP后的产后和产后并发症.
研究的目的:
- 评估经历UDP的分娩妇女产后并发症的发生率.
- 评估UDP后产后并发症的频率.
- 分析与UDP相关的孕产妇和新生儿健康结果.
主要方法:
- 一个10年的回顾性观察性研究分娩的UDP.
- 收集关于产后和产后UDP相关并发症的数据.
- 标准的医疗疗法和床上休息被管理; 周周周围的血液贴片没有使用.
主要成果:
- 在7718例神经轴痛解病例中,UDP发生在1.25%的病例中.
- 产后并发症包括全脊髓麻醉 (1.0%),运动阻塞 (3%) 和低血压 (4.1%).
- 产后,53.6%的患者经历了产后刺痛头痛,13.4%的患者有神经症状,82.5%的患者在医院住院时间延长.
结论:
- 由UDP引起的重大产后并发症并不常见,但很严重.
- 产后并发症,如头痛和神经症状是常见的.
- 仔细的监测和管理至关重要,即使没有外周周围血贴,也会导致长时间住院治疗.
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