Kato Jitsu
Department of Anesthesiology, Nihon University School of Medicine, Tokyo 113-8603.
Masui. 2010 Nov;59(11):1357-63.
To prevent peripheral nerve injury and neuropathic pain resulting from venipuncture, medical students and medical workers should be educated about the following points in clinical practice. First, the medial aspect of the antecubital fossa should not be punctured, to prevent injury to the median and medial anterobrachial cutaneous nerves. Second, the symptoms and signs of neuropathic pain resulting from venipuncture should be taught, to recognize the onset of neuropathic pain. Third, pharmacotherapy for the management of neuropathic pain should be taught to treat neuropathic pain resulting from venipuncture.
为预防静脉穿刺引起的周围神经损伤和神经性疼痛,医学生和医务工作者应在临床实践中接受以下方面的教育。首先,不应穿刺肘前窝的内侧,以防止正中神经和前臂内侧皮神经受损。其次,应讲授静脉穿刺引起的神经性疼痛的症状和体征,以便识别神经性疼痛的发作。第三,应讲授用于治疗神经性疼痛的药物疗法,以治疗静脉穿刺引起的神经性疼痛。