dragon2004212 发表于 2010-2-24 21:06:22

Ronald D. Miller, Lars I. Eriksson, Lee A. Fleisher, Jeanine P. Wiener-Kronish, William L. Young, Miller's Anesthesia,Seventh Edition.2009010750. 51-Spinal, Epidural, and Caudal Anesthesia Contraindications (脊髓麻醉、硬膜外麻醉、骶管麻醉的禁忌症):Some of the most important include patient refusal; a patient's inability to maintain stillness during the needle puncture, which can expose the neural structures to an unacceptable risk of injury; and raised intracranial pressure, which may theoretically predispose to brainstem herniation. Relative contraindications that must be weighed against the potential benefits include intrinsic and idiopathic coagulopathy, such as that occurring with administration of warfarin (Coumadin) or heparin; skin or soft tissue infection at the proposed site of needle insertion; severe hypovolemia; and lack of anesthesiologist experience. The often-cited relative contraindication of preexisting neurologic disease (e.g., lower extremity peripheral neuropathy)(预先存在的神经疾病例如下肢周围神经病变是经常被引用的相对禁忌症) is not usually based on medical criteria but rather on legal considerations.

天使猫太 发表于 2010-2-24 21:08:32

看不懂英文能学麻醉马- -我是学日语的。。ing

zhangwenhua1103 发表于 2010-2-25 17:00:13

看起来是有点迷惑,仔细想想还是选D。要是判断题肯定做错了

angle943681060 发表于 2010-2-26 21:00:44

选D,这个创意非常好,每天都能学习

zhhq1270 发表于 2010-2-28 20:55:04

D 应该不会错的

mdjdenny 发表于 2010-3-5 21:53:12

选D,没说的,肯定对

orangeli 发表于 2010-3-15 13:45:06

答案是D吧?就这一道题?

rabbit37c 发表于 2010-3-15 22:50:35

我选第3个,休克
如果是严重休克就是禁忌

rabbit37c 发表于 2010-3-15 22:55:55

要求楼主再仔细推敲一下,我觉得答案C肯定不对
严重休克才是禁忌,比如休克的失代偿期,我认为代偿期完全可以用

qiuyunzzm 发表于 2010-3-15 23:02:39

D
下列哪种情况不是硬膜外麻醉的禁忌症
A 穿刺点皮肤感染
B 凝血机制障碍
C 休克
D 严重贫血
E 脊柱结核或严重畸形
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