中国医学创新
中國醫學創新
중국의학창신
MEDICAL INNOVATION OF CHINA
2014年
23期
142-144
,共3页
深静脉血栓%下肢骨折%0.5%布比卡因%麻醉%腰硬联合
深靜脈血栓%下肢骨摺%0.5%佈比卡因%痳醉%腰硬聯閤
심정맥혈전%하지골절%0.5%포비잡인%마취%요경연합
Deep venous thrombosis%Fracture of lower limb%0.5% bupivacaine%Anesthesia%Combined spinal epidural
目的:研究0.5%布比卡因腰硬联合麻醉行下肢骨折并发深静脉血栓患者复位固定术的麻醉效果及其安全性。方法:选取本院2008年1月-2013年12月收治的102例并发深静脉血栓的下肢骨折患者(血栓引起肢体肿痛患者除外),均行骨折复位内固定术,选取L3~4施行腰硬联合穿刺,成功后注入0.5%布比卡因7.5~10 mg,硬膜外腔向头端置管3 cm后平卧。20 min麻醉平面未达要求,硬膜外腔追加1∶1利多卡因布比卡因混合液(以下称利布混合液)。结果:所有患者均成功实施腰硬联合麻醉。腰麻用药5 min内起效,15~20 min麻醉平面固定。90.20%患者麻醉平面在T10以下,改良Bromage评分3分者占98.12%,95.10%患者循环稳定,麻醉满意率100%。结论:0.5%布比卡因腰硬联合麻醉起效快、阻滞完善、循环稳定,并发症少,能够满足深静脉血栓患者进行下肢骨折复位固定术的麻醉要求。
目的:研究0.5%佈比卡因腰硬聯閤痳醉行下肢骨摺併髮深靜脈血栓患者複位固定術的痳醉效果及其安全性。方法:選取本院2008年1月-2013年12月收治的102例併髮深靜脈血栓的下肢骨摺患者(血栓引起肢體腫痛患者除外),均行骨摺複位內固定術,選取L3~4施行腰硬聯閤穿刺,成功後註入0.5%佈比卡因7.5~10 mg,硬膜外腔嚮頭耑置管3 cm後平臥。20 min痳醉平麵未達要求,硬膜外腔追加1∶1利多卡因佈比卡因混閤液(以下稱利佈混閤液)。結果:所有患者均成功實施腰硬聯閤痳醉。腰痳用藥5 min內起效,15~20 min痳醉平麵固定。90.20%患者痳醉平麵在T10以下,改良Bromage評分3分者佔98.12%,95.10%患者循環穩定,痳醉滿意率100%。結論:0.5%佈比卡因腰硬聯閤痳醉起效快、阻滯完善、循環穩定,併髮癥少,能夠滿足深靜脈血栓患者進行下肢骨摺複位固定術的痳醉要求。
목적:연구0.5%포비잡인요경연합마취행하지골절병발심정맥혈전환자복위고정술적마취효과급기안전성。방법:선취본원2008년1월-2013년12월수치적102례병발심정맥혈전적하지골절환자(혈전인기지체종통환자제외),균행골절복위내고정술,선취L3~4시행요경연합천자,성공후주입0.5%포비잡인7.5~10 mg,경막외강향두단치관3 cm후평와。20 min마취평면미체요구,경막외강추가1∶1리다잡인포비잡인혼합액(이하칭리포혼합액)。결과:소유환자균성공실시요경연합마취。요마용약5 min내기효,15~20 min마취평면고정。90.20%환자마취평면재T10이하,개량Bromage평분3분자점98.12%,95.10%환자순배은정,마취만의솔100%。결론:0.5%포비잡인요경연합마취기효쾌、조체완선、순배은정,병발증소,능구만족심정맥혈전환자진행하지골절복위고정술적마취요구。
To study the anesthetic effect and safety of 0.5% bupivacaine in combined spinal epidural anesthesia for lower limb fracture complicated with deep venous thrombosis in patients with reduction and fixation.Method:102 patients with lower limb fracture complicated with deep venous thrombosis(thrombosis of lower limb fracture patients with limb swelling and pain caused by except)in our hospital from January 2008 to December 2013 were selected,they were treated with fracture fixation,L3-4 were selected to underwent combined spinal epidural puncture,after successful injection of 0.5%bupivacaine 7.5-10 mg,epidural cephalad catheter after 3 cm recumbent.20 minutes was not up to the required level of anesthesia,epidural additional 1:1 lidocaine bupivacaine (hereinafter called lidocaine-bupivacaine).Result:All patients were successfully combined spinal epidural anesthesia. Spinal anesthesia medication within 5 minutes of onset,15-20 min anesthesia plane fixed.Plane under T10 anesthesia in 90.20%patients,the modified Bromage scoring 3 points accounted for 98.12%,95.10%patients with stable circulation, the satisfaction rate of the anesthesia was 100%.Conclusion:0.5%bupivacaine in combined spinal epidural anesthesia rapid onset,complete block,cyclic stability,fewer complications,can meet the requirements of patients with deep vein thrombosis of lower limb fracture reduction and fixation of anesthesia.