摘要
应用１８ＧＴｕｏｈｙ针（勺状背打孔）与５Ｇ腰穿针配合使用，一次完成腰麻（ＳＡ）和硬膜外阻滞（ＥＡ）的操作及其复合麻醉（ＣＳＥＡ）用于经阴道ＬＰＳ全宫切除术１２５例。结果全部病例达到手术要求。镇痛、肌松满意，血流动力学平稳，手术时间不限，局麻药用量少，避免了单次蛛网膜下腔阻滞时间受限和硬膜外麻醉局麻药中毒较多的缺点，术后可镇痛。认为腰麻硬膜外复合麻醉用于经阴道ＬＰＳ全宫切除术不失为一种较理想的麻醉方法。
he manipulation of spinal anesthesia and extradural block anesthesia and CSEA was finished at one time with the application of 18G Tuohy needle and 5G spinal needle in 125 cases of vaginal LPS total hysterectomy. Results showed that the requirements of operation were reached in all the cases with satisfactory analgesia and muscular relaxation, stable hemodynamics, unlimited time for operation and small dosage of local anesthetic. This avoided the disadvantages of the limited time in single subarachnoid space block anesthesia and local anesthetic poisoning during extradural anesthesia. It is thought that CSEA may be a comparatively satisfatory anesthesia for vaginal LPS total hysterectomy.
出处
《右江民族医学院学报》
1998年第1期14-15,共2页
Journal of Youjiang Medical University for Nationalities
