实用疼痛学杂志
實用疼痛學雜誌
실용동통학잡지
PAIN CLINIC JOURNAL
2015年
2期
133-138
,共6页
星状神经节%神经传导阻滞%心脏病
星狀神經節%神經傳導阻滯%心髒病
성상신경절%신경전도조체%심장병
Stellate ganglion%Nerve block%Heart diseases
心脏的主要交感神经心上、心中、心下神经均直接或经过星状神经节到达心脏.动物实验显示阻滞左侧星状神经节可降低心脏交感神经兴奋性,减少儿茶酚胺心肌内释放,从而减少室性心律失常和室颤的发生.临床研究显示,左侧星状神经节阻滞可降低心脏交感神经活性,从而有效地防止患者室颤和猝死.
心髒的主要交感神經心上、心中、心下神經均直接或經過星狀神經節到達心髒.動物實驗顯示阻滯左側星狀神經節可降低心髒交感神經興奮性,減少兒茶酚胺心肌內釋放,從而減少室性心律失常和室顫的髮生.臨床研究顯示,左側星狀神經節阻滯可降低心髒交感神經活性,從而有效地防止患者室顫和猝死.
심장적주요교감신경심상、심중、심하신경균직접혹경과성상신경절도체심장.동물실험현시조체좌측성상신경절가강저심장교감신경흥강성,감소인다분알심기내석방,종이감소실성심률실상화실전적발생.림상연구현시,좌측성상신경절조체가강저심장교감신경활성,종이유효지방지환자실전화졸사.
The major sympathetic cardiac nerves,including superior-,middle-and inferior-cervical sympathetic cardiac nerves are directly derived from or passed through stellate ganglion.Animal experiments showed that blocking left stellate ganglion is able to effectively reduce cardiac sympathetic activation,reduce norepinephrine release at the ventricular level,and therefore has powerful antiarrhythmic and antifibrillatory effects.Clinical studies showed that blocking left stellate can effectively reduce ventrical arrhythmias and prevent sudden death by reducing sympathetic output to the heart.