论文部分内容阅读
本文作者对12例妊娠39～42周妇女,应用硫酸吗啡1.5mg行蛛网膜下腔内注射,消除分娩期产痛。12例产妇的年龄为19～30岁。第一胎者6例。其余为第二胎和第三胎。均经详细查体及询问病史,无腰穿或蛛网膜下阻滞的禁忌症,无过敏史,除2例外血压均正常。按常规腰穿进行,用22号腰穿针进入蛛网膜下腔,移出针蕊,旋转穿刺针360°,证实在脊椎管内后,即注入吗啡0.15ml(相当1.5mg)其中有4例未用脑脊液稀释药物,直接将药推入。注药时及注药后产妇血压均无何变化,脉搏、呼吸深度和频率、体温均稳定正常。注药后的效果观察:消除了分娩第一期疼痛,4例产妇消除了分娩第二期腹疼,3例减轻了分娩第二期腹疼,其中1例胎头已露于阴道口产妇未感觉自己是在分娩,另1例直到第二产程开始本人也
The authors of 12 women 39 to 42 weeks of gestation, application of 1.5mg morphine sulfate subarachnoid injection to eliminate labor pain during labor. 12 maternal age is 19 to 30 years old. The first child in 6 cases. The rest are the second and the third. After detailed examination and medical history, no lumbar puncture or subarachnoid block contraindications, no allergy history, except for 2 cases of normal blood pressure. According to conventional lumbar puncture, with No. 22 lumbar puncture into the subarachnoid space, remove the needle core, rotate the needle 360 °, confirmed in the spinal canal, that is injected morphine 0.15ml (equivalent to 1.5mg) of which 4 were unused Dilution of cerebrospinal fluid drugs, drugs directly into. There was no change in maternal blood pressure during injection and after injection, and pulse, respiratory depth and frequency, body temperature were all stable and normal. After the injection of the effect of observation: to eliminate the first phase of labor pain, 4 cases of maternal labor to eliminate the second phase of abdominal pain, 3 cases of second-stage delivery to reduce abdominal pain, of which 1 case of fetal head has been exposed vaginal mouth maternal Feel I was in childbirth, and the other one until the second stage of labor itself