[1]史成梅 贾东林① 李民* 岳峰 邓鑫 郭向阳 王军.穿透性胎盘植入合并凶险型前置胎盘孕妇行剖宫产的麻醉管理（附1例报告）[J].中国微创外科杂志,2015,15(8):763-765.
　Shi Chengmei*,Jia Donglin,Li Min*,et al.Anesthesia Management in Cesarean Section for Placenta Percreta Combined with Placenta Previa: Case Report[J].Chinese Journal of Minimally Invasive Surgery,2015,15(8):763-765.
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穿透性胎盘植入合并凶险型前置胎盘孕妇行剖宫产的麻醉管理（附1例报告）()
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《中国微创外科杂志》[ISSN:1009-6604/CN:11-4526/R]

卷:
15
期数:
2015年8期
页码:
763-765
栏目:
病例报告
出版日期:
2015-08-20

文章信息/Info

Title:
Anesthesia Management in Cesarean Section for Placenta Percreta Combined with Placenta Previa: Case Report
作者:
史成梅 贾东林① 李民* 岳峰 邓鑫 郭向阳 王军
（北京大学第三医院麻醉科，北京100191）
Author(s):
Shi Chengmei*;  Jia Donglin;  Li Min*;  et al.
*Department of Anesthesiology, Peking University Third Hospital, Beijing 100191, China
关键词:
穿透性胎盘植入; 前置胎盘; 麻醉管理
Keywords:
Placenta accreta; Placenta previa; Anesthesia management
分类号:
R614.4
文献标志码:
D
摘要:
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。
Abstract:
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.

参考文献/References:

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备注/Memo

备注/Memo:
*通讯作者，Email：liminanesth@aliyun.com①疼痛科
更新日期/Last Update: 2016-01-04