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[麻醉阻滞在鬼头刀鱼蜇伤中的治疗应用]

[Therapeutic application of anesthetic blocks in weever-fish stings].

作者信息

Linares del Río F, Moniche García Pumarino M, Herruezo Pérez A

出版信息

Rev Esp Anestesiol Reanim. 1989 Jan-Feb;36(1):57-9.

PMID:2565592
Abstract

Five cases of weaver-fish sting (weaver Trachinus) are described. All patients presented severe pain and peripheral vascular disorders. In 4 cases the sting was in the upper limb and treated with brachial plexus axillary block. One patient had been stung in the foot and treated with epidural continuous block with catheter: In all cases bupivacaine 0.5% was employed and evolution was good 24-48 hours later. We conclude that anesthetic blocks should be included in the symptomatic treatment of those cases, that is: steroids, antihistaminics, calcium, analgesic agents, antibiotics, and antitetanic vaccine.

摘要

本文描述了5例鬼头刀蜇伤(鬼头刀属)的病例。所有患者均出现剧痛和周围血管功能障碍。4例蜇伤发生在上肢,采用臂丛神经腋路阻滞治疗。1例患者足部被蜇伤,采用硬膜外导管持续阻滞治疗:所有病例均使用0.5%布比卡因,24 - 48小时后病情好转。我们得出结论,麻醉阻滞应纳入这些病例的对症治疗中,即:类固醇、抗组胺药、钙剂、镇痛药、抗生素和破伤风抗毒素疫苗。

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