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孕妇乳房手术的胸段筋膜间神经阻滞:一例报告

Thoracic interfascial nerve block for breast surgery in a pregnant woman: a case report.

作者信息

Hong Boohwi, Yoon Seok-Hwa, Youn Ann Misun, Kim Bum June, Song Seunghyun, Yoon Yeomyung

机构信息

Department of Anesthesiology and Pain Medicine, Chungnam National University College of Medicine, Daejeon, Korea.

出版信息

Korean J Anesthesiol. 2017 Apr;70(2):209-212. doi: 10.4097/kjae.2017.70.2.209. Epub 2017 Jan 12.

Abstract

Regional anesthesia for non-obstetric surgery in parturients is a method to decrease patient and fetal risk during general anesthesia. Thoracic interfascial nerve block can be used as an analgesic technique for surgical procedures of the thorax. The Pecs II block is an interfascial block that targets not only the medial and lateral pectoral nerves, but also the lateral cutaneous branch of the intercostal nerve. Pecto-intercostal fascial block (PIFB) targets the anterior cutaneous branch of the intercostal nerve. The authors successfully performed a modified Pecs II block and PIFB without complications in a parturient who refused general anesthesia for breast surgery.

摘要

区域麻醉用于产妇非产科手术是一种在全身麻醉期间降低患者和胎儿风险的方法。胸筋膜间神经阻滞可用作胸部手术的镇痛技术。胸大肌后间隙阻滞(Pecs II阻滞)是一种筋膜间阻滞,不仅针对胸内侧神经和胸外侧神经,还针对肋间神经的外侧皮支。胸肋筋膜阻滞(PIFB)针对肋间神经的前皮支。作者在一名拒绝接受乳房手术全身麻醉的产妇中成功实施了改良的Pecs II阻滞和PIFB,且无并发症发生。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a247/5370295/3dd1de859652/kjae-70-209-g001.jpg

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