摘要
目的探讨罗哌卡因在局部浸润肿胀麻醉在隆乳术中的应用效果。方法0.75%盐酸罗哌卡因250mg+0.1%肾上腺素0.5ml,配制成总量为400ml的局部麻醉液,采用局部浸润麻醉方法为96例受术者行隆乳手术,根据胸部神经、肌肉的解剖特点,行合理的分布药量和准确有效的注射。结果96例隆乳术者,局部浸润麻醉方法均有效,且麻醉效果良好,无一例受术者因分离腔穴时产生疼痛而影响手术操作或停止手术。结论局部麻醉效果理想可靠,方法简单易行,适用于任何术式的隆乳术。而在分离腔穴时产生的疼痛主要是因注射层次不当和药量分布不均所致,与麻醉方法无关;其麻醉效果与假体置入层次或乳腺胸大肌是否发达无因果关系。
Objective To explore the application of local infiltration and tumescent ？anesthesia in the augmentation mammoplasty. Methods Make up 400 ml anesthetic solution with 250 mg Ropivacaine hydrochloride and 0.5 ml Adrenaline hydrochloride, according to the anatomical features of the thoracic nerves and muscles and adopting the method of rational dosage distribution, local infiltration anesthesia was used in all 96 cases of augmentation mammoplasty, Results An ideal, reliable, simple, economic and safe results were scored and all operations were finished successfully, No operation was affected or stopped because of pain caused by the sepa-ration of cavities. Conclusion The local anesthesia is applicable to all kinds of augmentation mammoplasty, If any pain occurs at the time of separating the cavities, it is caused mainly by the improper layer of the injection or uneven distribution of the medicine,and there is no causality between the anesthetic effect and the implantation layer of prothesis or well-/under-developed mammary gland pectoralis.
出处
《组织工程与重建外科杂志》
2007年第5期275-276,共2页
Journal of Tissue Engineering and Reconstructive Surgery
关键词
局部浸润麻醉
肿胀麻醉
隆乳术
Local infiltration anesthesia
Tumescent anesthesia
Augmentation mammoplasty
