开胸术后疼痛管理问题。
Postthoracotomy pain management problems.
作者信息
Gerner Peter
机构信息
Department of Anesthesiology, Perioperative and Pain Medicine, Harvard Medical School, Brigham and Women's Hospital, Boston, MA 02115, USA.
出版信息
Anesthesiol Clin. 2008 Jun;26(2):355-67, vii. doi: 10.1016/j.anclin.2008.01.007.
Abstract
Pain after thoracotomy is very severe, probably the most severe pain experienced after surgery. Thoracic epidural analgesia has greatly improved the pain experience and its consequences and has been considered the standard for pain management after thoracotomy. This view has been challenged recently by the use of paravertebral nerve blocks. Nevertheless, severe ipsilateral shoulder pain and the prevention of the postthoracotomy pain syndrome remain the most important challenges for management of postthoracotomy pain.
摘要
开胸术后疼痛非常剧烈，可能是手术后经历的最严重的疼痛。胸段硬膜外镇痛极大地改善了疼痛体验及其后果，并被认为是开胸术后疼痛管理的标准方法。最近，椎旁神经阻滞的应用对这一观点提出了挑战。尽管如此，严重的同侧肩部疼痛以及预防开胸术后疼痛综合征仍然是开胸术后疼痛管理面临的最重要挑战。
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