摘要
目的 探讨如何配制和应用肿胀液 ,使超声辅助吸脂术能在局麻下安全、有效地操作。方法 通过 318例肿胀技术超声辅助吸脂术 ,分析肿胀液各种成分及其合适剂量。结果 在应用肿胀技术超声辅助吸脂术中 ,可选用林格液或生理盐水为液体 ;局麻药利多卡因用量可达 35mg kg体重 ;肾上腺素总量为 2～ 3mg ,但浓度须在 1∶10 0 0 0 0 0以下 ;碱化剂碳酸氢钠 ,以 5 0 0mg L为宜。结论 使用合适的肿胀液 ,可以使超声辅助吸脂术安全、高效 ,且可避免并发症出现。
Objective To explore the application and formulas of the tumescent technique in the ultrosonic liposuction for better and more predictable reseults. Methods The tumescent technique formulas were present and analysed through 318 cases of ultrosonic liposuction. Results The following regimen was recommended as a result of the above studies: Lactated Ringer's solution or nosmal sodium was the fluid of choice; Lidocaine (500 mg/l) was a reference anesthetic. The maximal safe dose recommended for liposuction was 35 mg/kg body weight and total dose of epinephrine was 2～3 mg/l. But its concentation should be lower than 1:1 000 000. Concentration of sodium bicarbonate was 500 mg/l, and higer doses were of no value but harmless. Conclusions Safer formulas are provided for the tumescent technique administration in the ultrosonic liposuction. The tumescent technique may reduce potential complications related to ultrosonic liposuction
出处
《中华医学美学美容杂志》
2001年第5期236-237,共2页
Chinese Journal of Medical Aesthetics and Cosmetology
