中国医药
中國醫藥
중국의약
CHINA MEDICINE
2011年
7期
820-821
,共2页
肩胛骨骨折%高位硬膜外腔阻滞%臂丛阻滞
肩胛骨骨摺%高位硬膜外腔阻滯%臂叢阻滯
견갑골골절%고위경막외강조체%비총조체
Scapula fracture%High segmental epidural anesthesia%Brachial plexus block
目的 观察采用高位硬膜外腔阻滞加肌间沟径路臂丛阻滞进行肩胛骨骨折手术的麻醉效果.方法 52例肩胛骨骨折患者选取T2-3或T3-4间隙施行硬膜外腔阻滞及患侧肌问沟径路臂丛阻滞.术中视麻醉效果辅用少量阿片类镇痛药.结果 52例患者均顺利完成手术,麻醉优良率达98.1%(51/52),仅1例麻醉效果差.结论 肩胛骨骨折的手术麻醉采用高位硬膜外腔阻滞加肌间沟径路臂丛阻滞,简单易行,麻醉效果好且安全经济,值得在中小型医院应用.
目的 觀察採用高位硬膜外腔阻滯加肌間溝徑路臂叢阻滯進行肩胛骨骨摺手術的痳醉效果.方法 52例肩胛骨骨摺患者選取T2-3或T3-4間隙施行硬膜外腔阻滯及患側肌問溝徑路臂叢阻滯.術中視痳醉效果輔用少量阿片類鎮痛藥.結果 52例患者均順利完成手術,痳醉優良率達98.1%(51/52),僅1例痳醉效果差.結論 肩胛骨骨摺的手術痳醉採用高位硬膜外腔阻滯加肌間溝徑路臂叢阻滯,簡單易行,痳醉效果好且安全經濟,值得在中小型醫院應用.
목적 관찰채용고위경막외강조체가기간구경로비총조체진행견갑골골절수술적마취효과.방법 52례견갑골골절환자선취T2-3혹T3-4간극시행경막외강조체급환측기문구경로비총조체.술중시마취효과보용소량아편류진통약.결과 52례환자균순리완성수술,마취우량솔체98.1%(51/52),부1례마취효과차.결론 견갑골골절적수술마취채용고위경막외강조체가기간구경로비총조체,간단역행,마취효과호차안전경제,치득재중소형의원응용.
Objective To observe the effect of high segmental epidural (EA) anesthesia plus brachial plexus block by intermuscular apporach during scapula fracture surgery.Methods Fifty-two patients scheduled with scapula fracture were selected.T2-3 or T3-4 intervertebral space received EA.Subsequently.brachial plexus block by intermuscular approach of the injured side was applied.Little amount of opioid analgesics was used according to the anesthesia effect.Results Operations were all successful.The perfect rate of anesthesia was 98.1%.The anesthe-sia effect was bad in one case.Conclusions High segmental epidural anesthesia plus braehial plexus block by intermuscular apporach is a simple,safe and economical method for scapula fracture surgery.
