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Korean J Anesthesiol > Volume 14(2); 1981 > Article
Korean Journal of Anesthesiology 1981;14(2):185-191.
DOI: https://doi.org/10.4097/kjae.1981.14.2.185   
Clinical Evaluation of Anesthesia for Cesarean Section of Toxemia .
Guie Yong Lee, Sun Ae Hahm, Choon Hi Lee
Department of Anesthesiology, Ewha Womans University, College of Medicine, Seoul, Korea.
Abstract
The anesthetic management of cesearean section in patients with hypertensive disorders of pregnancy has been controversial. Regional anesthesia, particularly lumbar epidural block, and general anesthesia have been recommended. We have made a clinical analysis of anesthesia for 349 cesearean sections among total 1,434 toxemia from Jan. 1976 to Dec. 1980 in the Department of Anesthesiology, Ewha Womans University Hospital. The results are as follows: 1) The incidence of cesarean section of toxemic patients was 24.3%. 2) Indications for cesarean section were, in order of frequency:FPD(48.9%), previous C-section(14.3%), abnormal presentation (10.0%), etc. 3) Of the total 349 cesarean sections, 86%(300 cases) were emergency cases. 4) The majority of preoperative systopic pressure was 140~160 mmHg. 5) Of the total cases, 48.8%(153 cases) had general anesthesia and 51.2%(196 cases) had spinal. 6) One minute Apgar score of the infants born after spinal anesthesia are better than general anesthesia. 7) In patients received magnesium sulfate(96 cases), 54.2%(52 cases) had general anesthesia and 45.8%(44 cases) had spinal anesthesia. 8) In cases with magnesium sulfate therapy, there was a few incidence of severe neonatal depression.


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