神经内注射导致肌间沟阻滞术后功能障碍。
Functional deficits after intraneural injection during interscalene block.
机构信息
Department of Anesthesia and Perioperative Care, University of California, San Francisco, San Francisco General Hospital, San Francisco, CA 94110, USA.
出版信息
Reg Anesth Pain Med. 2010 Jul-Aug;35(4):397-9. doi: 10.1097/aap.0b013e3181e8a35f.
OBJECTIVE
We present an occurrence of a severe but transient neurologic complication after intraneural injection during an ultrasound-guided interscalene block.
CASE REPORT
A 36-year-old man underwent ultrasound-guided interscalene nerve blockade before shoulder incision and drainage. On postoperative day 1, he exhibited new-onset arm weakness with dysesthesias. Intraneural injection was recognized based on a retrospective review of the recorded ultrasound imaging. The symptoms persisted for more than 2 weeks and completely resolved by 6 weeks.
CONCLUSIONS
Our report suggests that intraneural injection during ultrasound-guided interscalene block carries a risk of neurologic complications.
目的
我们报告一例在超声引导下肌间沟阻滞时神经内注射后出现严重但短暂的神经并发症。
病例报告
一名 36 岁男性在肩部切开引流前接受了超声引导下肌间沟神经阻滞。术后第 1 天，他出现新发的手臂无力伴感觉异常。根据记录的超声图像回顾，发现存在神经内注射。症状持续了 2 周以上，6 周后完全缓解。
结论
我们的报告表明，超声引导下肌间沟阻滞时的神经内注射有发生神经并发症的风险。
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