【摘要】 椎管内分娩镇痛是分娩镇痛的首选方法，其优点之一是由阴道分娩中转剖宫产时可以直接从硬膜外管给药诱导麻醉，但临床上可能面对诸多问题，如：硬膜外管脱落、麻醉效果欠佳、产科急症因素无法实施硬膜外麻醉等，在如何保证母婴安全的前提下提供良好的麻醉效果是产科医生、麻醉医生和患者共同关注的问题。针对上述问题，本文对椎管内分娩镇痛中转剖宫产手术时的麻醉策略进行综述。更多还原

【Abstract】 Intraspinal analgesia is recommended for labor analgesia,which has advantages of extending epidural analgesia for intrapartum cesarean section. However,it has many problems in clinical practice,such as epidural catheter migration,failure to conversion of epidural labor analgesia and the inability to perform epidural anesthesia due to obstetric emergency. How to provide safe and effective anesthetic management for parturient and infant has become a common concern of obstetrician,anesthesiologist and patients. In response to these issues,the review summarizes the anesthetic management of conversion of epidural labor analgesia to intrapartum cesarean section anesthesia.更多还原