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外科研究与新技术（中英文）

外科研究与新技术（中英文） >

2014 , Vol. 3 >Issue 1: 60 - 64

DOI: https://doi.org/10.3969/j.issn.2095-378X.2014.01.014

外科研究与新技术

腰麻后仰卧位低血压综合征的研究进展

  • 奚 丰(综述) ,
  • 张晓庆(审校)
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  • 同济大学附属同济医院麻醉科 上海 200065
奚 丰(1989-),男,本科,在读硕士研究生,研究临床麻醉。

网络出版日期: 2014-01-25

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Progress in the research of supine hypotensive syndrome as spinal anesthesia

  • XI Feng ,
  • ZHANG Xiao-qing
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  • Department of Anesthesiology,Tongji Hospital,Tongji University School Medicine,Shanhai 200065,China

Online published: 2014-01-25

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摘要

仰卧位低血压综合征(supine hypotensive syndrome,SHS)又称“妊娠晚期下腔静脉综合征”,是孕产妇在妊娠末期仰卧位时,增大的子宫压迫下腔静脉,使远端血液淤滞,回心血量减少,心搏出量减少,表现为血压急骤下降,伴随头晕、恶心、胸闷、出冷汗、脉率增快、面色苍白等症状,而侧卧时上述症状立即消失或减轻。一旦发生应及时处理,否则可发生胎儿宫内窘迫甚至死亡、新生儿窒息、产妇循环衰竭甚至心跳骤停而死亡等情况,故临床上应引起重视认真预防,以免发生严重后果。

关键词： 腰麻; 仰卧位低血压综合征; 剖宫产

本文引用格式

奚 丰(综述) , 张晓庆(审校) . 腰麻后仰卧位低血压综合征的研究进展[J]. 外科研究与新技术（中英文）, 2014 , 3(1) : 60 -64 . DOI: 10.3969/j.issn.2095-378X.2014.01.014

Abstract

Supine hypotensive syndrome is also called late pregnancy inferior vena cava syndrome.When pregnant women are lying in supine position in late pregnancy,the inferior vena cava in compression of increased uterus reduces returned blood volume and cardiac output and leads to lower blood pressure.Pregnant women have many syndromes,such as dizziness,nausea,chest tightness,cold sweats and pale.The above symptoms disappear or relieve immediately when women change into the lateral position.Without timely treatment,it would lead to maternal circulatory failure,maternal cardiac arrest,fetal distress,neonatal asphyxia and even death.Therefore,the clinical doctors should pay more attention to the prevention of supine hypotensive syndrome.

Key words： Spinal Anesthesia; Supine hypotensive syndrome; Cesarean section

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