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在不进行全身麻醉的情况下，采用镇静联合胸神经阻滞（Pecs阻滞）进行保乳手术。

Pectoral nerve block (Pecs block) with sedation for breast conserving surgery without general anesthesia.

作者信息

Moon Eun-Jin, Kim Seung-Beom, Chung Jun-Young, Song Jeong-Yoon, Yi Jae-Woo

机构信息

Department of Anesthesiology and Pain Medicine, College of Medicine, Kyung Hee University, Seoul, Korea.

Department of Surgery, College of Medicine, Kyung Hee University, Seoul, Korea.

出版信息

Ann Surg Treat Res. 2017 Sep;93(3):166-169. doi: 10.4174/astr.2017.93.3.166. Epub 2017 Aug 30.

DOI:10.4174/astr.2017.93.3.166
PMID:28932733
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5597541/
Abstract

Most regional anesthesia in breast surgeries is performed as postoperative pain management under general anesthesia, and not as the primary anesthesia. Regional anesthesia has very few cardiovascular or pulmonary side-effects, as compared with general anesthesia. Pectoral nerve block is a relatively new technique, with fewer complications than other regional anesthesia. We performed Pecs I and Pec II block simultaneously as primary anesthesia under moderate sedation with dexmedetomidine for breast conserving surgery in a 49-year-old female patient with invasive ductal carcinoma. Block was uneventful and showed no complications. Thus, Pecs block with sedation could be an alternative to general anesthesia for breast surgeries.

摘要

大多数乳腺手术的区域麻醉是在全身麻醉下作为术后疼痛管理进行的，而非主要麻醉方式。与全身麻醉相比，区域麻醉的心血管或肺部副作用极少。胸神经阻滞是一种相对较新的技术，并发症比其他区域麻醉更少。我们对一名49岁浸润性导管癌女性患者在右美托咪定中度镇静下同时进行胸肌Ⅰ和胸肌Ⅱ阻滞作为保乳手术的主要麻醉。阻滞过程顺利，未出现并发症。因此，镇静下的胸神经阻滞可作为乳腺手术全身麻醉的一种替代方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8089/5597541/fe05339389f8/astr-93-166-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8089/5597541/4e42ae8f7cb8/astr-93-166-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8089/5597541/fe05339389f8/astr-93-166-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8089/5597541/4e42ae8f7cb8/astr-93-166-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8089/5597541/fe05339389f8/astr-93-166-g002.jpg

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Anesthesiology. 2016 Mar;124(3):683-95. doi: 10.1097/ALN.0000000000000983.
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