Pfeiffer G, Oppitz N, Schöne S, Richter-Heine I, Höhne M, Koltermann C
Abteilung für Anästhesie und Schmerztherapie, Triamed Kreisklinik Bad Aibling, Germany.
Anaesthesist. 2006 Apr;55(4):423-7. doi: 10.1007/s00101-005-0969-0.
A 62-year-old female suffered from therapy-resistant pain in the axilla after lymphadenectomy. The pain ranged from 8-10 on the numeric rating scale (NRS) despite multimodal pain therapy (non-steroid anti-rheumatics, opioids, physiotherapy, acupuncture). A paravertebral trial injection was performed preoperatively on the laminae of the thoracic vertebrae Th 2-Th 4. As the patient responded well, a paravertebral catheter was inserted close to Th 4 directly before the revision operation took place the following day. The case study describes the possibilities of eliminating pain segmentally in the axilla and an alternative technique to a paravertebral block (lamina technique).
一名62岁女性在淋巴结切除术后出现腋窝顽固性疼痛。尽管进行了多模式疼痛治疗（非甾体类抗风湿药、阿片类药物、物理治疗、针灸），疼痛在数字评分量表（NRS）上仍为8至10分。术前在胸2至胸4椎板进行了椎旁试验注射。由于患者反应良好，在第二天进行翻修手术前，于胸4附近插入了一根椎旁导管。该病例研究描述了局部消除腋窝疼痛的可能性以及一种替代椎旁阻滞的技术（椎板技术）。
