Liu Christopher Weiyang, Flamer David
From the Department of Anesthesiology, Mount Sinai Hospital, Toronto Western Hospital, University Health Network, Toronto, Ontario, Canada.
A A Pract. 2018 Dec 1;11(11):309-311. doi: 10.1213/XAA.0000000000000815.
The perineural administration of alcohol or phenol results in protein denaturation and, consequently, neurolysis. This can produce long-lasting analgesia, with a duration of 3-6 months. Although neurolytic blocks for the brachial plexus have been described in multiple review articles and textbooks, they are rarely performed. As such, little is known about the efficacy and adverse effect profile of this commonly described treatment. In this article, we report the outcomes of a patient who underwent a left brachial plexus neurolytic block for the management of upper limb pain arising from a malignant peripheral nerve sheath tumor.
酒精或苯酚的神经周围给药会导致蛋白质变性,进而引起神经溶解。这可产生持续3至6个月的长效镇痛效果。尽管多篇综述文章和教科书都描述过臂丛神经的神经溶解阻滞,但实际操作很少。因此,对于这种常见治疗方法的疗效和不良反应情况知之甚少。在本文中,我们报告了一名患者的治疗结果,该患者因恶性外周神经鞘瘤引起上肢疼痛,接受了左侧臂丛神经溶解阻滞治疗。