Yamaguchi Teru, Kariya Nobutaka, Miyagawa Yasuko, Itani Motoi, Tatara Tsuneo, Tashiro Chikara
Department of Anesthesiology, Hyogo College of Medicine, Nishinomiya 663-8501.
Masui. 2010 Oct;59(10):1291-3.
A radical hysterectomy was performed in a patient complicated with bronchiectasis, under combined spinal-epidural anesthesia. The patient was asymptomatic and preoperatively diagnosed with bronchiectasis on an anesthetic consultation with an anesthesiologist. An epidural catheter was inserted between T12 and L1, and spinal anesthesia was subsequently performed with 0.5% bupivacaine 2.8 ml and fentanyl 10 microg. It was necessary to administer a supplemental epidural dose of 0.375% ropivacaine fifty minutes after the start of the operation. Postoperative epidural analgesia was effective and no perioperative complications were observed.
在一名合并支气管扩张症的患者身上，于腰麻-硬膜外联合麻醉下实施了根治性子宫切除术。该患者无症状，术前在麻醉会诊时经麻醉医生诊断为支气管扩张症。在T12和L1之间插入硬膜外导管，随后用2.8毫升0.5%布比卡因和10微克芬太尼实施脊髓麻醉。手术开始50分钟后，有必要追加0.375%罗哌卡因硬膜外剂量。术后硬膜外镇痛效果良好，未观察到围手术期并发症。
