摘要
目的：给临床应用提供安全有效、便捷宜行且能减少病人痛苦和危险的臂丛阻滞麻醉入路。方法：选择１８具成人尸体，用游标卡尺、量角器和穿刺针等工具。由体表定位，解剖观测阻麻入路途径。所测数据均经统计学处理，求出其均数和标准差。结果：锁骨上路臂丛阻滞麻醉最佳入路点位于锁骨下动脉弓上方（活体上为手触及锁骨下动脉搏动点处上方）０．５２±０．２０ｃｍ处，进针向锁骨中点方向，且针杆内倾３５～４０°，前倾１５～２０°，进针深度２．６７±０．４６ｃｍ。此处臂丛３束位于腋动脉第一段外后侧，最为集中。结论：此点入路，阻滞麻醉效果好、易行、安全。
Objective:To seek a best approach for brachial plexues block.Methods:An anatomical observation was made on the brachial plexues of 18 adult human cadavers with the use of vernier callipers,protractor and puncture needle.Results:The best point of supraclavicular approach is found to be at 0.52±0.20 cm over the subclavian artery and then inclines gently 35 to 40° to the middle and from 15 to 20° forward,toward for a depth of 3 cm(2.67±0.46 cm) toward the middle point of clavicle.Conclusions:The brachial plexues is concentrated at this point.Blocking through this approach is safe,easy.
出处
《蚌埠医学院学报》
CAS
1997年第3期156-157,共2页
Journal of Bengbu Medical College
关键词
应用解剖
臂丛神经
阻滞麻醉
brachial plexues
conduction anesthesia
applied anatomy
