Zhonghua yi xue za zhi = Chinese medical journal; Free China ed
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Zhonghua Yi Xue Za Zhi (Taipei) · Jan 1993
Randomized Controlled Trial Comparative Study Clinical Trial[Comparison between the effects of epidural and spinal anesthesia for selective cesarean section].
This study is proposed to compare the analgesic and side effects of different types of anesthesia used for Cesarean section (CS). Based on the use of CS inpatients, of whom 27 were without and 20 with previous CS experience, 47 cases were randomized into two groups: 21 epidural and 26 spinal anesthesia. Visual analogue scale was used to measure the pain score in seven stages (p1-p7): skin incision, peritoneum incision, abdominal wall retraction, delivering neonate, uterus exteriorization, checking bleeding and suturing skin, respectively. ⋯ The rate of nausea and vomiting in the epidural group was only half of that of spinal group, but was not statistically significant (RR = 0.5, 95% C. I. = 0.18-1.36). Based on the above, no significantly better effects on blood pressure and pulse rate in epidural, rather than spinal, anesthesia were found.(ABSTRACT TRUNCATED AT 250 WORDS)
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Zhonghua Yi Xue Za Zhi (Taipei) · Jan 1993
Case ReportsAcute fatty liver of pregnancy: a report of two cases.
In the past two years, two women with acute fatty liver of pregnancy have presented at this hospital. Both patients survived, but their babies died; published rates for both mother and fetus are up to 85% mortality with this condition. ⋯ Diagnosis was established by liver biopsy in both cases. The unusual good outcome for both women can be attributed to early recognition and prompt delivery, once diagnosis was considered.