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Hypertensive emergency as a complication of brachial plexus block.高血压急症作为臂丛神经阻滞的一种并发症。
BMJ Case Rep. 2011 Mar 8;2011:bcr0120113754. doi: 10.1136/bcr.01.2011.3754.
2
Convulsions following axillary brachial plexus blockade with levobupivacaine.左旋布比卡因腋路臂丛神经阻滞后惊厥
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False aneurysm of the axillary artery following brachial plexus block.臂丛神经阻滞后腋动脉假性动脉瘤
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Brachial plexus injury following brachial plexus block.
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[Transient total motor aphasia. A complication of an axillary brachial plexus block].[短暂性完全运动性失语。腋路臂丛神经阻滞的一种并发症]
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[Shoulder surgery using a plexus block: for or against. Against].
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本文引用的文献

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Upper extremity regional anesthesia: essentials of our current understanding, 2008.上肢区域麻醉：我们当前的认识要点，2008年
Reg Anesth Pain Med. 2009 Mar-Apr;34(2):134-70. doi: 10.1097/AAP.0b013e31819624eb.
2
Severe hypertension after stellate ganglion block.星状神经节阻滞后的严重高血压。
Br J Anaesth. 2005 Jun;94(6):840-2. doi: 10.1093/bja/aei134. Epub 2005 Apr 22.
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THE CAROTID SINUS REFLEXES.
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Sinoaortic regulatory system; role in pathogenesis of essential and malignant hypertension.窦弓调节系统；在原发性高血压和恶性高血压发病机制中的作用
AMA Arch Intern Med. 1953 Jan;91(1):26-34. doi: 10.1001/archinte.1953.00240130034003.
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The sixth report of the Joint National Committee on prevention, detection, evaluation, and treatment of high blood pressure.全国高血压防治联合委员会第六次报告。
Arch Intern Med. 1997 Nov 24;157(21):2413-46. doi: 10.1001/archinte.157.21.2413.
6
Bronchospasm following interscalene brachial plexus block.肌间沟臂丛神经阻滞术后支气管痉挛
Anesthesiology. 1984 Dec;61(6):759-61. doi: 10.1097/00000542-198412000-00020.
7
Sustained hypertension after section of the glossopharyngeal nerve.舌咽神经切断术后持续性高血压。
Am J Med. 1977 Feb;62(2):297-302. doi: 10.1016/0002-9343(77)90326-6.

高血压急症作为臂丛神经阻滞的一种并发症。

Hypertensive emergency as a complication of brachial plexus block.

作者信息

Chakithandy Sajith, Kelly Paul, Barron James

机构信息

Department of Anaesthesia, Guy's & St Thomas' Hospital, London, UK.

出版信息

BMJ Case Rep. 2011 Mar 8;2011:bcr0120113754. doi: 10.1136/bcr.01.2011.3754.

DOI:10.1136/bcr.01.2011.3754
PMID:22707657
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3063254/
Abstract

The authors report a case of hypertensive emergency (defined as systolic blood pressure >180 mm Hg and diastolic blood pressure >110 mm Hg with end organ damage) following brachial plexus blockade in a hypertensive lady with unstable angina. The authors describe blocking of baroreceptor reflexes by the local anaesthetic as a putative mechanism and suggest that this potentially serious complication should be considered when planning this particular anaesthetic technique.

摘要

作者报告了一例在一位患有不稳定型心绞痛的高血压女性患者进行臂丛神经阻滞后发生高血压急症（定义为收缩压>180 mmHg且舒张压>110 mmHg并伴有终末器官损害）的病例。作者将局部麻醉药对压力感受器反射的阻断描述为一种可能的机制，并建议在计划采用这种特定麻醉技术时应考虑到这种潜在的严重并发症。