侧卧位下的上腹下丛阻滞：一例报告
Superior Hypogastric Plexus Block in the Lateral Position: A Case Report.
作者信息
Tavakoli Farhad, Yousefshahi Fardin, Dabir Arman, Majedi Hossein
机构信息
Brain and Spinal Cord Injury Center, Neuroscience Institute, Tehran University of Medical Sciences, Tehran, Iran.
Department of Anesthesiology, Critical Care and Pain Medicine, Tehran University of Medical Sciences, Tehran, Iran.
出版信息
Anesth Pain Med. 2019 Oct 21;9(5):e94706. doi: 10.5812/aapm.94706. eCollection 2019 Oct.
INTRODUCTION
Patients with severe visceral abdominal or pelvic pain are sometimes candidates for celiac or superior hypogastric block. These blocks are performed in the prone position that is usually very painful for these patients. We introduce another position for these blocks that can be better tolerated.
CASE PRESENTATION
We performed the superior hypogastric plexus block in the lateral position in a patient who was suffering from severe abdominal and pelvic pain. The procedure was done under the guide of C-Arm fluoroscopy. After the procedure, the pain score reduced to 2 out of 10 on the 11-point Numeric Rating Scale and the patient was discharged without any complication.
CONCLUSIONS
Superior hypogastric plexus block in the lateral position was safe and effective for a patient with severe abdominal and pelvic pain.
引言
患有严重腹部内脏或盆腔疼痛的患者有时适合接受腹腔神经丛或上腹下丛阻滞。这些阻滞通常在俯卧位进行，而这对这些患者来说往往非常痛苦。我们介绍了另一种这些阻滞的体位，患者可能更易耐受。
病例报告
我们对一名患有严重腹部和盆腔疼痛的患者采用侧卧位进行了上腹下丛阻滞。该操作在C形臂荧光透视引导下完成。操作后，患者在11点数字评定量表上的疼痛评分降至2分（满分10分），且患者未出现任何并发症而出院。
结论
侧卧位上腹下丛阻滞对患有严重腹部和盆腔疼痛的患者安全有效。
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