Dravid R M, Paul R E
Kettering General Hospital, Rothwell Road, Kettering NN16 8UZ, UK.
Anaesthesia. 2007 Oct;62(10):1039-49. doi: 10.1111/j.1365-2044.2007.05183.x.
Interpleural blockade is effective in treating unilateral surgical and nonsurgical pain from the chest and upper abdomen in both the acute and chronic settings. It has been shown to provide safe, high-quality analgesia after cholecystectomy, thoracotomy, renal and breast surgery, and for certain invasive radiological procedures of the renal and hepatobiliary systems. It has also been used successfully in the treatment of pain from multiple rib fractures, herpes zoster, complex regional pain syndromes, thoracic and abdominal cancer, and pancreatitis. The technique is simple to learn and has both few contra-indications and a low incidence of complications. In the first of two reviews, the authors cover the history, taxonomy and anatomical considerations, the spread of local anaesthetic, and the mechanism of action, physiological, pharmacological and technical considerations in the performance of the block.
肋间神经阻滞在治疗急慢性情况下胸部和上腹部的单侧手术及非手术疼痛方面是有效的。已证明其在胆囊切除术、开胸手术、肾脏和乳腺手术后，以及在肾脏和肝胆系统的某些侵入性放射学检查中能提供安全、高质量的镇痛效果。它还成功用于治疗多根肋骨骨折、带状疱疹、复杂性区域疼痛综合征、胸腹部癌症及胰腺炎引起的疼痛。该技术易于学习，禁忌证少且并发症发生率低。在两项综述的第一篇中，作者阐述了其历史、分类及解剖学考量、局部麻醉药的扩散、作用机制，以及阻滞操作中的生理、药理和技术考量。
