Mischler K, Müller C, Keller A, Hillermann T
Klinik für Anästhesiologie, Spital Uster, Schweiz.
Anaesthesist. 2012 Feb;61(2):143-4, 147. doi: 10.1007/s00101-011-1967-z. Epub 2012 Feb 23.
The dedicated target region should be systematically examined before performing an ultrasound-guided nerve block so that the anatomy can be assessed and anatomic variants or pathologic findings are not missed. In the case described an ultrasound-guided interscalene plexus block was performed in a 73-year-old man. During this examination a cystic structure was detected within the thyroid gland. The further diagnostic procedure showed a metastasis of a renal cell carcinoma which had been treated by resection 10 years before.
在进行超声引导下神经阻滞之前，应对特定的目标区域进行系统检查，以便评估解剖结构，避免遗漏解剖变异或病理发现。在上述病例中，对一名73岁男性进行了超声引导下的肌间沟神经丛阻滞。在检查过程中，发现甲状腺内有一个囊性结构。进一步的诊断程序显示为肾细胞癌转移，该患者10年前已接受过切除术治疗。
