怀孕期间使用脊髓麻醉的紧急腰椎间盘椎间盘手术:临床特征和长期结果
Alper Turkkan1, Kazim Yigitkanli2
1Medicana Hospital, Neurosurgery Clinic, Bursa, Turkey.
概括
怀孕期间的紧急腰部微分隔切除手术是安全的. 这种程序可以维持怀孕,并为母亲和婴儿带来积极的结果.
科学领域:
- 神经外科 神经外科
- 产科 产科 产科 产科 产科
- 脊柱外科手术 脊柱外科手术
背景情况:
- 怀孕期间的紧急腰部微隔膜切除术存在独特的安全性和预后挑战.
- 在孕妇中评估手术结果需要仔细考虑母亲和胎儿的健康状况.
研究的目的:
- 审查怀孕期间进行的紧急腰部微分隔切除手术的安全性和预后.
- 评估紧急脊柱减压对母亲和新生儿结局的影响.
主要方法:
- 对10名接受紧急腰部微分隔切除术的孕妇进行了回顾性分析 (2016-2022年).
- 收集的数据包括手术前期和产前期的信息,神经状态和疼痛评分 (视觉模拟量表).
- 对母亲和新生儿的早期和晚期术后结果的评估.
主要成果:
- 十名孕妇接受了急诊的腰椎微隔膜切除术,原因是腰椎盘,导致严重的疼痛和神经缺陷.
- 没有观察到流产,死胎或重大产科并发症;所有怀孕都保持了.
- 所有母亲都表现出神经系统的改善,并恢复了运动能力;所有婴儿在出生时都健康,出生后发育正常.
结论:
- 在怀孕期间紧急的腰部微分隔术似乎是一个安全的程序.
- 维持怀孕是可行的,可以实现的,对母亲和孩子都有积极的结果.
相关概念视频
Local Anesthetics: Clinical Application as Epidural Anesthesia
414
Epidural anesthetics are administered in the fat-filled epidural space, the outermost part of the spinal canal. This technique is commonly employed for pain management and anesthesia during lower abdomen and pelvis surgeries or labor and delivery.
Since epidural anesthetics can be infused through an epidural catheter, all types of drugs, including short-acting ones, can be administered. Chloroprocaine and lidocaine are examples of short and long-duration anesthetics, respectively. Bupivacaine...
Since epidural anesthetics can be infused through an epidural catheter, all types of drugs, including short-acting ones, can be administered. Chloroprocaine and lidocaine are examples of short and long-duration anesthetics, respectively. Bupivacaine...
414
Local Anesthetics: Clinical Application as Spinal Anesthesia
585
Spinal anesthetics are given during lower abdomen and limb surgeries to block sensory and motor neurons. They are administered in the mid to low lumbar regions, primarily acting on the cauda equina's nerve roots. The blockade level depends on the local anesthetic (LA) concentration. Usually, low LA concentrations are sufficient to block sensory fibers, while only high LA concentrations block motor fibers. Other factors like injection volume and speed, the patient's posture, and the drug...
585

