Treshchinskiĭ A I, Glumcher F S, Makarov A V, Shlapak I P, Ostanniĭ I P, Aristov V V
Anesteziol Reanimatol. 1991 Mar-Apr(2):8-10.
The analgesic effect of intrapleural administration of local anesthetics (lidocaine, trimecaine, azocaine) has been studied in 180 patients after thoracic surgery and with chest trauma. The effect was assessed on the basis of subjective (visual analogue 10-score scale) and objective findings (hemodynamic parameters, spirograms, ECG). In control patients analgesia was performed by intramuscular promedol administration. It has been shown that fractionated intrapleural administration of local anesthetics is an effective and safe analgesic technique after thoracic surgery and in chest trauma.
对180例胸外科手术后及胸部创伤患者研究了胸膜腔内注射局部麻醉药（利多卡因、三甲卡因、阿佐卡因）的镇痛效果。根据主观（视觉模拟10分评分量表）和客观指标（血流动力学参数、呼吸描记图、心电图）评估效果。对照患者通过肌肉注射异丙嗪进行镇痛。结果表明，分次胸膜腔内注射局部麻醉药是胸外科手术后及胸部创伤时一种有效且安全的镇痛技术。
