From the Departments of Anesthesiology.
Urology, University of California, San Diego, San Diego, California.
A A Pract. 2020 Jul;14(9):e01250. doi: 10.1213/XAA.0000000000001250.
Renal colic is a common cause of pain; however, there have been few reports of treating this pain with regional anesthesia. We report on a 49-year-old man presenting with severe left flank pain resulting from a 4-mm stone in the left ureter. The pain was minimally responsive to intravenous opioids. Left-sided paravertebral blocks were performed at T7 and T9 with 10 mL bupivacaine 0.5% with epinephrine 2.5 µg/mL to each paravertebral space. The pain resolved over the following 30 minutes, and the patient was discharged home. No further pain was experienced before and while subsequently passing the stone.
肾绞痛是一种常见的疼痛原因；然而，用区域麻醉来治疗这种疼痛的报道很少。我们报告了一例 49 岁男性，因左输尿管 4 毫米结石导致严重左侧腰痛。静脉注射阿片类药物对疼痛的缓解作用很小。在 T7 和 T9 进行左侧椎旁阻滞，每个椎旁间隙注射 10 毫升 0.5%布比卡因加 2.5μg/mL 肾上腺素。疼痛在接下来的 30 分钟内缓解，患者出院回家。在排石前和排石过程中都没有再出现疼痛。
