摘要
对四肢创伤闭合性骨折2454例采用一种血肿内抽吸式局麻方法施行手法整复的经验进行总结。其方法为:在骨折断端注入局麻药10～20ml,待1～2min麻醉起效后,先将麻药和骨折断端血肿之混合液抽出,继之再行手法复位。经临床应用2454例,总的满意率100％,优良率达91.5％,无一例并发症发生。作者认为该法具有如下优点:(1)麻醉效果仍满意;(2)明显减少麻醉药物的毒副作用;(3)血肿内麻药混合液抽吸后,有利于手法整复中的手摸心会,便于骨折整复;(4)局部张力减小,减少外固定早期骨筋膜间室综合征的发生机会;(5)使外固定后肢体肿胀消退,周径缩小不致过大,增强骨折固定的稳定性。
From March of 1986 to August of 1998, under the local hematoma extraction anesthesia, 2454 cases of clos-ing fractures reduction were performed. The method was: first, injecting the anesthetic to the fracture site; then ex-tracting the hematoma 1 to 2 minutes after injection when the drug took effect; finally, manual reduction was performed. The results showed that it could enhanced the stability of external fixation by reduced the perimeter of limbs. Excellent results were achieved in 90 percent of 2454 patients. No serious complications were observed.
出处
《骨与关节损伤杂志》
1999年第2期78-79,共2页
The Journal of Bone and Joint Injury
关键词
血肿内麻醉
骨折整复
血肿抽吸法
Local hematoma extraction anesthesia
Fracture reduction
