超声评估围产期胃内容物的研究进展
Research Progress in Ultrasonography in Evaluation of Peripartum Period Gastric Contents
DOI: 10.12677/ACM.2022.127906, PDF,   
作者: 刘亚萍, 吕湘琪:哈尔滨医科大学附属第二医院麻醉科,黑龙江 哈尔滨
关键词: 床旁超声胃内容物麻醉胃窦Bedside Ultrasound Gastric Contents Anaesthesia Gastric Antrum
摘要: 对接受全身麻醉的孕妇建议进行肺误吸可能性的个性化风险评估,而床旁超声有助于实现这一目标。以往,对反流误吸的风险评估是基于禁食时间,但胃排空可能在怀孕期间有所不同,所以即便遵循了禁食指南产妇仍有可能存在“饱胃”状态。本文主要就床旁超声评估围产期胃内容物,以确定其是否可以识别和量化胃内容物,通过定性或定量方式提供反流误吸风险评估,并确定胃排空如何受到怀孕的影响作一综述。
Abstract: Personalised risk assessment of the likelihood of pulmonary aspiration is recommended for preg-nant women undergoing general anaesthesia and Bedside Ultrasound may help to achieve this. Traditionally, risk assessment is based upon adherence to fasting times, but gastric emptying may vary during pregnancy, hence fast even follow the guidelines for maternal could still exist “full stomach”. This article reviewed the evidence for gastric Bedside Ultrasound in pregnant and post-partum women to determine whether it can identify and quantify stomach contents, provide aspi-ration risk assessment via qualitative or quantitative means, and determine how gastric emptying is affected by pregnancy.
文章引用:刘亚萍, 吕湘琪. 超声评估围产期胃内容物的研究进展[J]. 临床医学进展, 2022, 12(7): 6267-6274. https://doi.org/10.12677/ACM.2022.127906

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