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纳巴斯面神经阻滞的并发症及文献综述。

Complications of Nadbath facial nerve block and a review of the literature.

作者信息

Lindquist T D, Kopietz L A, Spigelman A V, Nichols B D, Lindstrom R L

机构信息

Department of Ophthalmology, University of Washington, Seattle 98195.

出版信息

Ophthalmic Surg. 1988 Apr;19(4):271-3.

PMID:3362499
Abstract

In a retrospective study of complications resulting from the Nadbath facial nerve block, we identified three patients (0.25%) over a 2-year period. Complications included dysphonia, laryngospasm, unilateral vocal cord paralysis, and a sensation of the inability to breathe. As it exits the stylomastoid foramen, the facial nerve lies close to the vagus, glossopharyngeal, and accessory nerves. Particular care must be taken, therefore, when giving Nadbath blocks in very thin individuals. The use of hyaluronidase, which enhances effusion of the anesthetic agent, should probably be withheld.

摘要

在一项关于纳巴斯面神经阻滞所致并发症的回顾性研究中,我们在两年时间里确定了3例患者(0.25%)。并发症包括发音困难、喉痉挛、单侧声带麻痹以及呼吸不畅感。面神经出茎乳孔时,紧邻迷走神经、舌咽神经和副神经。因此,在给非常消瘦的个体进行纳巴斯阻滞时必须格外小心。可能应避免使用能增强麻醉剂渗出的透明质酸酶。

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