Reiestad F, McIlvaine W B, Kvalheim L, Haraldstad P, Pettersen B
Department of Anesthesiology, Ulleval University Hospital, Oslo, Norway.
Can J Anaesth. 1989 Nov;36(6):713-6. doi: 10.1007/BF03005428.
Interpleural analgesia has recently been shown to be effective in the management of various chronic pain syndromes. We have used interpleural analgesia successfully in 11 patients with severe chronic pancreatitis of 24-38 months' duration. Daily injections of 30 ml of 0.5 per cent bupivacaine with epinephrine 5 mu.ml-1, were given through a percutaneously inserted pleural catheter over a five- to ten-day period. Patients have remained pain-free during follow up which ranges from 24 to 40 weeks. This method of providing analgesia for the patient suffering from the pain of chronic pancreatitis is simple, safe, effective and can be provided on an outpatient basis.
最近研究表明，肋间神经阻滞镇痛在多种慢性疼痛综合征的治疗中有效。我们已成功地将肋间神经阻滞镇痛用于11例病程为24至38个月的严重慢性胰腺炎患者。在5至10天的时间里，通过经皮插入的胸膜导管，每日注射30毫升含肾上腺素5μg/ml的0.5%布比卡因。在长达24至40周的随访期内，患者一直没有疼痛。这种为慢性胰腺炎疼痛患者提供镇痛的方法简单、安全、有效，且可在门诊进行。
