摘要
本文报告应用选择性硬膜外阻滞行上,下肢手术,乳癌根治术,疝修补及阑尾切除术等共118例,41例(34.7％)获完全性单侧麻醉而对侧感觉和运动均正常,30例(25.4％)麻醉作用绝大部分局限于患侧,但对侧也出现小范围平面,另33例(27.96％)手术开始时为单侧。手术结束后复试平面为双侧,作用不全9例,失败5例,单侧麻醉成功的关键是穿刺针位置要达到硬膜外后腔的一侧,而导管一定要置入一侧侧腔或前腔。采用患侧朝下,从健侧进针的侧入法,可获较高成功率。
The selected unilateral epidural block was applied in 118 patients, undergoing a varicty of operations, including operations on upper and lower limbs, radical mastectomy, inguinal hernia repair and appendectomy, in 41 cases (34.74%), satisfactory analgesia was com- pltely locaized in affected side while the sensation and mvement of opposite side were normal, in 30 cases (25.4%), although the analgesia was largely licalized in affected side, there was a small scope of anesthetic plane in the opposite side and in other 33 cases (27.96%), at the begin- ning of the operation, anesthetic effect was found in the affcctcd side only, and at the end of op- cration both sides were involoved incomplete block in 9 cases and failing in 5 cases. It is bclicved that to produce a successful unilateral epidural block, the Tuohy needle must reach one side of posterior cpidural space, with the plastic tube cathcterized into anterior or lateral cpidural space. The authors also believe the method of latcral approch from the healthy side with affccted side downwards would bring about a higher success rate.
出处
《皖南医学院学报》
CAS
1990年第3期19-21,共3页
Journal of Wannan Medical College
关键词
硬膜外麻醉
单侧
麻醉
ancsthcsia cpidural
ancsthcsia unilatcral epidural
analgcsia
