Klug W, Knoch H G, Voboril A
Sb Ved Pr Lek Fak Karlovy Univerzity Hradci Kralove Suppl. 1990;33(2):169-76.
The experience with sacral anesthesia is reported on a total of 513 proctologic patients. From them, 105 cases were submitted to the sacral anesthesia without extradural morphine application, and 308 cases were anesthesized with simultaneous extradural administration of morphine. Easy in applicability, the sacral anesthesia is such an analgesic procedure which results in no complications and may be employed mainly in elder patients. The anesthetics prolonged in action (those similar in type with Bupivacain, Marcain) together with extradural morphine administration are also effective in respect with postoperative analgesia. An average time of postoperative analgesia represents 53 +/- 23.4 hrs. when 2 mg/kg Bupivacain, 0005% Epinephrine and 5 mg Morphinum hydrochloricum are applied, respectively.
报告了513例直肠病患者的骶管麻醉经验。其中，105例接受了未应用硬膜外吗啡的骶管麻醉，308例在硬膜外同时给予吗啡的情况下进行麻醉。骶管麻醉应用简便，是一种无并发症的镇痛方法，主要用于老年患者。作用时间延长的麻醉剂（与布比卡因、丁卡因类型相似）与硬膜外给予吗啡一起，在术后镇痛方面也有效。当分别应用2mg/kg布比卡因、0.0005%肾上腺素和5mg盐酸吗啡时，术后平均镇痛时间为53±23.4小时。
