Fang X H
Department of Anesthesiology, Number 6 Municipal Hospital, Shanghai, People's Republic of China.
Reg Anesth. 1989 Mar-Apr;14(2):55-7.
Between June 1968 and December 1985, a total of 1185 microsurgical operations were performed at the No. 6 Municipal Hospital, Shanghai. These included 500 reimplantations of amputated hands or fingers, 271 free transfers of toes, 96 free transfers of fibula, 63 free transfers of muscle, 34 reconstructions of hands, and 88 ENT procedures. The anesthetic methods used were brachial plexus block 401 (33.8%), cervical epidural block 232 (19.6%), general anesthesia 193 16.3%), double catheter lumbar and cervical epidural block 149 (12.6%), brachial plexus plus lumbar epidural block 123 (10.4%), lumbar epidural block alone 64 (5.4%), and acupuncture 22 (1.9%). Anesthesia in microsurgical operations must provide good operating conditions for very prolonged periods, devoid of any vasospasm and preferably with a degree of vasodilatation to facilitate vascular anastomosis.
1968年6月至1985年12月期间，上海第六人民医院共进行了1185例显微外科手术。其中包括500例断手或断指再植术、271例游离足趾移植术、96例游离腓骨移植术、63例游离肌肉移植术、34例手部重建术以及88例耳鼻喉科手术。所采用的麻醉方法有：臂丛阻滞401例（33.8%）、颈段硬膜外阻滞232例（19.6%）、全身麻醉193例（16.3%）、双管腰段和颈段硬膜外阻滞149例（12.6%）、臂丛加腰段硬膜外阻滞123例（10.4%）、单纯腰段硬膜外阻滞64例（5.4%）以及针刺麻醉22例（1.9%）。显微外科手术中的麻醉必须在很长一段时间内提供良好的手术条件，避免任何血管痉挛，最好有一定程度的血管扩张以利于血管吻合。
