Neuburger M, Landes H, Kaiser H
Klinik für Anaesthesiologie, Intensivmedizin und Schmerztherapie, Rechbergklinik Bretten, Akademisches Lehrkrankenhaus, Universität Heidelberg, Virchowstrasse 15, 75015 Bretten.
Anaesthesist. 2000 Oct;49(10):901-4. doi: 10.1007/s001010070044.
A 50 year old female patient received anaesthesia of the arm by the vertical infraclavicular blockade of the plexus brachialis (VIP). Postoperatively an ipsilateral pneumothorax occurred complicated by pleural effusion and a contralateral bronchopneumonia, which resolved completely after treatment. The blockade of the plexus was performed correctly, failures in determining the correct point of needle insertion could be excluded. Therefore a pneumothorax has to be regarded as a specific complication of the VIP, which might occur despite correct technique, and requires that the patient be informed of this eventuality. Nevertheless, the VIP is an important method due to its high success rate concerning blockade of the musculocutaneous nerve and tolerance of tourniquet. The risk of a pneumothorax is about 0.2 to 0.7%.
一名50岁女性患者接受了臂丛神经垂直锁骨下阻滞麻醉（VIP）。术后发生同侧气胸，并发胸腔积液和对侧支气管肺炎，经治疗后完全消退。臂丛神经阻滞操作正确，可排除确定进针点失误的情况。因此，气胸应被视为VIP的一种特殊并发症，即使技术正确也可能发生，需要告知患者有这种可能性。尽管如此，由于VIP在肌皮神经阻滞成功率和止血带耐受性方面较高，仍是一种重要的方法。气胸的风险约为0.2%至0.7%。
