产科麻醉风险与防范(修改)PPT课件.pptVIP

母体低血压的预防和治疗 Hypotension defined as fall in MAP ? 30% Prophylaxis of hypotension is highly recommended A range of strategies could be used to minimize hypotension: Maternal position Vasoconstrictors Infusion of fluids Colloid crystalloid * 母体低血压预防和治疗－体位 Aortocaval Syndrome（仰卧位低血压综合征 ） Left Uterine Displacement (LUD) Displaces weight off IVC 15% respond to RUD Place immediately following induction * 低血压预防治疗－血管活性药 Prophylactic Ephedrine Failure to provide prophylaxis Advocate treatment of hypotension with 5-10 mg IV Phenylephrine administration Small doses of 10-25 mc