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首页> 外文期刊>Current opinion in anaesthesiology >Neurological complications following central neuraxial blockades in obstetrics.
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Neurological complications following central neuraxial blockades in obstetrics.

机译：产科中央神经轴阻滞后的神经系统并发症。

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PURPOSE OF REVIEW: The last few decades have seen an increased use of central neuraxial blockades in obstetric patients. Central blockades provide excellent labour analgesia and safe anaesthesia for caesarean section associated with low incidence of severe complications. Therefore, an increasing number of blockades are also performed in women affected by significant disease. The risks and benefits of central blockades, however, might differ in these patients. This review addresses the risks of neurological complications following central neuraxial blockades in healthy parturients as well as in women affected by significant haemostatic and neurological disease. RECENT FINDINGS: The low risk of complications following central neuraxial blockades applies primarily to women in developed countries. Infectious complications and in particular meningitis still occur, and more frequently so in developing countries. Judicious application of central blockades in women affected by neurological and haemostatic disorders may enhance patient satisfaction without increasing the risk for complications. SUMMARY: Estimation of the incidence of neurological complications following central neuraxial blockades to women affected by significant disease on the basis of case reports and small series of patients is impossible. Prospective registration of high-risk patients may increase our knowledge. Application of central neuraxial blockade must follow individual evaluation.
机译：审查目的：过去几十年中，产科患者中越来越多地使用中央神经轴阻滞剂。中枢封锁可为剖宫产提供出色的分娩镇痛和安全麻醉，并降低严重并发症的发生率。因此，在患有严重疾病的妇女中也进行了越来越多的封锁。然而，这些患者的中央封锁的风险和益处可能有所不同。这篇综述解决了健康产妇以及受到严重止血和神经疾病影响的女性在中心神经阻滞后发生神经系统并发症的风险。最近的发现：中央神经轴向阻滞后发生并发症的风险较低，主要适用于发达国家的妇女。传染性并发​​症，尤其是脑膜炎仍然发生，并且在发展中国家更常见。在受神经系统和止血性疾病影响的女性中明智地应用中枢性阻断剂可以提高患者的满意度，而不会增加并发症的风险。摘要：根据病例报告和少量患者，无法估计中枢神经阻滞后受重大疾病影响的妇女的神经系统并发症的发生率。对高危患者进行前瞻性注册可能会增加我们的知识。中心神经阻滞的应用必须遵循个人评估。

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