四肢轻瘫患者的肌松监测
Monitoring of curarisation in patients with tetraparesis.
作者信息
Fiacchino F, Bricchi M, Lasio G
机构信息
Department of Anaesthetics and Intensive Care, Istituto Neurologico C Besta, Milano, Italy.
出版信息
Anaesthesia. 1990 Feb;45(2):128-31. doi: 10.1111/j.1365-2044.1990.tb14277.x.
Neuromuscular blockade induced by pancuronium was monitored on the trapezius and abductor digiti minimi muscles in three patients with upper motor neurone lesions: one patient was hemiparetic and two were tetraparetic. A greater sensitivity to pancuronium was always observed on the trapezius muscle. It is suggested that the assessment of curarisation is more reliable on proximal than on distal muscles if the patient's sensitivity to relaxants is expected to be generally low.
在3例上运动神经元损伤患者的斜方肌和小指展肌上监测泮库溴铵诱导的神经肌肉阻滞：1例患者为偏瘫，2例为四肢瘫。在斜方肌上总是观察到对泮库溴铵有更高的敏感性。如果预计患者对松弛剂的敏感性普遍较低，那么在近端肌肉上评估肌松程度比在远端肌肉上更可靠。
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