分娩鎮(zhèn)痛神經(jīng)并發(fā)癥和防治課件

分娩鎮(zhèn)痛神經(jīng)養(yǎng)發(fā)癥的防治求興廣州市婦女兒童醫(yī)療中心麻醉科分娩鎮(zhèn)痛1神經(jīng)并發(fā)癥神經(jīng)養(yǎng)發(fā)癥麻醉醫(yī)生心中永遠(yuǎn)的痛廣州市婦女兒童醫(yī)療中心麻醉科神經(jīng)并發(fā)癥2分娩與鎮(zhèn)痛一神經(jīng)并發(fā)癥發(fā)生率■椎管內(nèi)麻醉被廣泛應(yīng)用于產(chǎn)婦■神經(jīng)并發(fā)癥發(fā)生率低,約為1:13000-12500MZakowskiComplicationsassociatedwithregionalanesthesiaintheobstetricpatient.SeminPerinatol.2019;26:154-ZakowskiM.Postoperativeneurologiccomplicationassociatedwithanesthesiaintheparturient.ObstetricAnesthesia,2nd.Philadelphia:LippincottWilliamswilkins,2019:BromagePRNeurologiccomplicationsofregionalanesthesiainobstetrics.AnesthesiaforObstetrics,4thed.PhiladelphiaLippincottWilliamswilkins,2019:409-428廣州市婦女兒童醫(yī)療中心麻醉科分娩與鎮(zhèn)痛一神經(jīng)并發(fā)癥發(fā)生率3分娩與鎮(zhèn)痛神經(jīng)并發(fā)癥發(fā)生率■Bru述過去10年間32項產(chǎn)科麻醉神經(jīng)開發(fā)癥■神經(jīng)根病變或周圓神經(jīng)病變發(fā)生率脊髓麻醉>硬膜外麻醉■永久神經(jīng)損傷發(fā)生率很低(小于0.04%)Brull,etal.Neurologicalcomplicationsafterregionalanesthesia:contemporaryestimatesofrisk.AnesthAnalg.2019:10:965-974廣州市婦女兒童醫(yī)療中心麻醉科分娩與鎮(zhèn)痛神經(jīng)并發(fā)癥發(fā)生率4RadiculopathyCaudaEquinaICEventSpinalAnesthesiaParaplegiaT000.1020.30.4RadiculopathyCaudaEquinaICEventEpiduralAnesthesiaParaplegia0.00.10.20.30.4268101214EstimatedRateofoccurrence(n:10000Radiculopathy5分娩鎮(zhèn)痛神經(jīng)并發(fā)癥和防治課件6分娩鎮(zhèn)痛神經(jīng)并發(fā)癥和防治課件7分娩鎮(zhèn)痛神經(jīng)并發(fā)癥和防治課件8分娩鎮(zhèn)痛神經(jīng)并發(fā)癥和防治課件9分娩鎮(zhèn)痛神經(jīng)并發(fā)癥和防治課件10分娩鎮(zhèn)痛神經(jīng)并發(fā)癥和防治課件11分娩鎮(zhèn)痛神經(jīng)并發(fā)癥和防治課件12分娩鎮(zhèn)痛神經(jīng)并發(fā)癥和防治課件13分娩鎮(zhèn)痛神經(jīng)并發(fā)癥和防治課件14分娩鎮(zhèn)痛神經(jīng)并發(fā)癥和防治課件15分娩鎮(zhèn)痛神經(jīng)并發(fā)癥和防治課件16分娩鎮(zhèn)痛神經(jīng)并發(fā)癥和防治課件17分娩鎮(zhèn)痛神經(jīng)并發(fā)癥和防治課件18分娩鎮(zhèn)痛神經(jīng)并發(fā)癥和防治課件19分娩鎮(zhèn)痛神經(jīng)并發(fā)癥和防治課件20分娩鎮(zhèn)痛神經(jīng)并發(fā)癥和防治課件21分娩鎮(zhèn)痛神經(jīng)并發(fā)癥和防治課件22分娩鎮(zhèn)痛神經(jīng)并發(fā)癥和防治課件23分娩鎮(zhèn)痛神經(jīng)并發(fā)癥和防治課件24分娩鎮(zhèn)痛神經(jīng)并發(fā)癥和防治課件25分娩鎮(zhèn)痛神經(jīng)并發(fā)癥和防治課件26分娩鎮(zhèn)痛神經(jīng)并發(fā)癥和防治課件27分娩鎮(zhèn)痛神經(jīng)并發(fā)癥和防治課件28分娩鎮(zhèn)痛神經(jīng)并發(fā)癥和防治課件29分娩鎮(zhèn)痛神經(jīng)并發(fā)癥和防治課件30分娩鎮(zhèn)痛神經(jīng)并發(fā)癥和防治課件31分娩鎮(zhèn)痛神經(jīng)并發(fā)癥和防治課件32分娩鎮(zhèn)痛神經(jīng)并發(fā)癥和防治課件33分娩鎮(zhèn)痛神經(jīng)并發(fā)癥和防治課件34分娩鎮(zhèn)痛神經(jīng)并發(fā)癥和防治課件35分娩鎮(zhèn)痛神經(jīng)并發(fā)癥和防治課件36分娩鎮(zhèn)痛神經(jīng)并發(fā)癥和防治課件37分娩鎮(zhèn)痛神經(jīng)并發(fā)癥和防治課件38分娩鎮(zhèn)痛神經(jīng)并發(fā)癥和防治課件39分娩鎮(zhèn)痛神經(jīng)并發(fā)癥和防治課件40分娩鎮(zhèn)痛神經(jīng)并發(fā)癥和防治課件41分娩鎮(zhèn)痛神經(jīng)并發(fā)癥和防治課件42分娩鎮(zhèn)痛神經(jīng)并發(fā)癥和防治課件43分娩鎮(zhèn)痛神經(jīng)并發(fā)癥和防治課件44分娩鎮(zhèn)痛神經(jīng)并發(fā)癥和防治課件45分娩鎮(zhèn)痛神經(jīng)并發(fā)癥和防治課件46分娩鎮(zhèn)痛神經(jīng)并發(fā)癥和防治課件47分娩鎮(zhèn)痛神經(jīng)并發(fā)癥和防治課件48分娩鎮(zhèn)痛神經(jīng)并發(fā)癥和防治課件49分娩鎮(zhèn)痛神經(jīng)并發(fā)癥和防治課件50分娩鎮(zhèn)痛神經(jīng)并發(fā)癥和防治課件51分娩鎮(zhèn)痛神經(jīng)并發(fā)癥和防治課件52分娩鎮(zhèn)痛神經(jīng)并發(fā)癥和防治課件53分娩鎮(zhèn)痛神經(jīng)并發(fā)癥和防治課件54分娩鎮(zhèn)痛神經(jīng)養(yǎng)發(fā)癥的防治求興廣州市婦女兒童醫(yī)療中心麻醉科分娩鎮(zhèn)痛55神經(jīng)并發(fā)癥神經(jīng)養(yǎng)發(fā)癥麻醉醫(yī)生心中永遠(yuǎn)的痛廣州市婦女兒童醫(yī)療中心麻醉科神經(jīng)并發(fā)癥56分娩與鎮(zhèn)痛一神經(jīng)并發(fā)癥發(fā)生率■椎管內(nèi)麻醉被廣泛應(yīng)用于產(chǎn)婦■神經(jīng)并發(fā)癥發(fā)生率低,約為1:13000-12500MZakowskiComplicationsassociatedwithregionalanesthesiaintheobstetricpatient.SeminPerinatol.2019;26:154-ZakowskiM.Postoperativeneurologiccomplicationassociatedwithanesthesiaintheparturient.ObstetricAnesthesia,2nd.Philadelphia:LippincottWilliamswilkins,2019:BromagePRNeurologiccomplicationsofregionalanesthesiainobstetrics.AnesthesiaforObstetrics,4thed.PhiladelphiaLippincottWilliamswilkins,2019:409-428廣州市婦女兒童醫(yī)療中心麻醉科分娩與鎮(zhèn)痛一神經(jīng)并發(fā)癥發(fā)生率57分娩與鎮(zhèn)痛神經(jīng)并發(fā)癥發(fā)生率■Bru述過去10年間32項產(chǎn)科麻醉神經(jīng)開發(fā)癥■神經(jīng)根病變或周圓神經(jīng)病變發(fā)生率脊髓麻醉>硬膜外麻醉■永久神經(jīng)損傷發(fā)生率很低(小于0.04%)Brull,etal.Neurologicalcomplicationsafterregionalanesthesia:contemporaryestimatesofrisk.AnesthAnalg.2019:10:965-974廣州市婦女兒童醫(yī)療中心麻醉科分娩與鎮(zhèn)痛神經(jīng)并發(fā)癥發(fā)生率58RadiculopathyCaudaEquinaICEventSpinalAnesthesiaParaplegiaT000.1020.30.4RadiculopathyCaudaEquinaICEventEpiduralAnesthesiaParaplegia0.00.10.20.30.4268101214EstimatedRateofoccurrence(n:10000Radiculopathy59分娩鎮(zhèn)痛神經(jīng)并發(fā)癥和防治課件60分娩鎮(zhèn)痛神經(jīng)并發(fā)癥和防治課件61分娩鎮(zhèn)痛神經(jīng)并發(fā)癥和防治課件62分娩鎮(zhèn)痛神經(jīng)并發(fā)癥和防治課件63分娩鎮(zhèn)痛神經(jīng)并發(fā)癥和防治課件64分娩鎮(zhèn)痛神經(jīng)并發(fā)癥和防治課件65分娩鎮(zhèn)痛神經(jīng)并發(fā)癥和防治課件66分娩鎮(zhèn)痛神經(jīng)并發(fā)癥和防治課件67分娩鎮(zhèn)痛神經(jīng)并發(fā)癥和防治課件68分娩鎮(zhèn)痛神經(jīng)并發(fā)癥和防治課件69分娩鎮(zhèn)痛神經(jīng)并發(fā)癥和防治課件70分娩鎮(zhèn)痛神經(jīng)并發(fā)癥和防治課件71分娩鎮(zhèn)痛神經(jīng)并發(fā)癥和防治課件72分娩鎮(zhèn)痛神經(jīng)并發(fā)癥和防治課件73分娩鎮(zhèn)痛神經(jīng)并發(fā)癥和防治課件74分娩鎮(zhèn)痛神經(jīng)并發(fā)癥和防治課件75分娩鎮(zhèn)痛神經(jīng)并發(fā)癥和防治課件76分娩鎮(zhèn)痛神經(jīng)并發(fā)癥和防治課件77分娩鎮(zhèn)痛神經(jīng)并發(fā)癥和防治課件78分娩鎮(zhèn)痛神經(jīng)并發(fā)癥和防治課件79分娩鎮(zhèn)痛神經(jīng)并發(fā)癥和防治課件80分娩鎮(zhèn)痛神經(jīng)并發(fā)癥和防治課件81分娩鎮(zhèn)痛神經(jīng)并發(fā)癥和防治課件82分娩鎮(zhèn)痛神經(jīng)并發(fā)癥和防治課件83分娩鎮(zhèn)痛神經(jīng)并發(fā)癥和防治課件84分娩鎮(zhèn)痛神經(jīng)并發(fā)癥和防治課件85分娩鎮(zhèn)痛神經(jīng)并發(fā)癥和防治課件86分娩鎮(zhèn)痛神經(jīng)并發(fā)癥和防治課件87分娩鎮(zhèn)痛神經(jīng)并發(fā)癥和防治課件88分娩鎮(zhèn)痛神經(jīng)并發(fā)癥和防治課件89分娩鎮(zhèn)痛神經(jīng)并發(fā)癥和防治課件90分娩鎮(zhèn)痛神經(jīng)并發(fā)癥和防治課件91分娩鎮(zhèn)痛神經(jīng)并發(fā)癥和防治課件92分娩鎮(zhèn)痛神經(jīng)并發(fā)癥和防治課件93分娩鎮(zhèn)痛神經(jīng)并發(fā)癥和防治課件94分娩鎮(zhèn)痛神經(jīng)并發(fā)癥和防治課件95分娩鎮(zhèn)痛神經(jīng)并發(fā)癥和防治課件96分娩鎮(zhèn)痛神經(jīng)并發(fā)癥和防治課件97分娩鎮(zhèn)痛神經(jīng)并發(fā)