Sasai T, Sakakibara S, Kaji M, Nitta T, Masaki Y, Yajima T, Gomibuchi M, Tanaka S, Shouji T
Department of Surgery, Ebina General Hospital.
Kyobu Geka. 1991 Feb;44(2):132-4.
Post-thoracotomy wound pain in 11 patients who underwent thoracic operation was controlled by intercostal nerve block with alcohol and thoracic epidural anesthesia. The intercostal nerve block was performed just before the closure of the thoracotomy wound. Epidural anesthesia was employed from the 1st to 5th post operative day. This method alleviated post-thoracotomy pain and obviated postoperative pulmonary complication in all patients in early post operative periods. In late post operative periods after discharge, intercostal nerve block could maintain excellent analgesia in 9 of 11 patients, only 2 patients required analgesic drugs or re-block of the intercostal nerve. Thus, intercostal nerve block with alcohol is an effective and simple option to control recalcitrant post-thoracotomy wound pain in thoracic surgery.
11例接受胸科手术的患者，其开胸术后伤口疼痛通过肋间神经酒精阻滞和胸段硬膜外麻醉得以控制。肋间神经阻滞在开胸伤口关闭前进行。术后第1天至第5天采用硬膜外麻醉。该方法在术后早期缓解了所有患者的开胸术后疼痛，并避免了术后肺部并发症。在出院后的术后晚期，11例患者中有9例通过肋间神经阻滞可维持良好的镇痛效果，仅2例患者需要使用镇痛药或再次进行肋间神经阻滞。因此，肋间神经酒精阻滞是控制胸外科手术后顽固性开胸伤口疼痛的一种有效且简单的方法。
