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皮肤表面涂抹酮卡因以在切取分层皮片移植时提供局部麻醉。

Skin surface application of ketocaine to provide local anaesthesia for cutting split skin grafts.

作者信息

Pontén B, Ohlsén L

出版信息

Br J Plast Surg. 1977 Oct;30(4):251-4. doi: 10.1016/0007-1226(77)90110-2.

DOI:10.1016/0007-1226(77)90110-2
PMID:338067
Abstract

Astra 2337 ketocaine-soaked pads applied to the skin surface produced analgesia adequate for split skin graft cutting 85 out of 86 patients. In 86 per cent, the analgesia was completely satisfactory; a few had some discomfort or pain but all could tolerate this. Application for 1 hour is time enough, but the effect lasts for at least 8 hours and probably longer. Apart from occasional redness and oedema of the skin, no adverse effects wer noted and the blood levels of absorbed ketocaine were far below the toxic level. This simple effective technique is of great value, particularly in such cases as burns who require multiple grafting operations and in whom repeated general anaesthetics can have such adverse effect.

摘要

将浸有2337号阿斯特拉(Astra 2337)氯胺酮的垫子敷于皮肤表面,86例患者中有85例产生了足以进行中厚皮片移植切割的镇痛效果。86%的患者镇痛效果完全令人满意;少数患者有一些不适或疼痛,但都能耐受。敷用1小时时间足够,但效果至少持续8小时,可能更长。除皮肤偶尔出现发红和水肿外,未观察到不良反应,吸收的氯胺酮血药浓度远低于中毒水平。这种简单有效的技术具有很大价值,特别是对于需要多次移植手术且反复全身麻醉可能产生不良影响的烧伤患者。

相似文献

1
Skin surface application of ketocaine to provide local anaesthesia for cutting split skin grafts.皮肤表面涂抹酮卡因以在切取分层皮片移植时提供局部麻醉。
Br J Plast Surg. 1977 Oct;30(4):251-4. doi: 10.1016/0007-1226(77)90110-2.
2
Percutaneous anaesthesia for taking split skin grafts.取断层皮片时的经皮麻醉。
Scand J Plast Reconstr Surg. 1977;11(1):79-82. doi: 10.3109/02844317709025501.
3
New anaesthetic formulation for epicutaneous application tested for cutting split skin grafts.用于切割断层皮片移植的新型经皮应用麻醉制剂已进行测试。
Br J Anaesth. 1980 Apr;52(4):413-7. doi: 10.1093/bja/52.4.413.
4
Percutaneous anaesthesia for some minor surgical procedures.用于一些小手术的经皮麻醉。
Scand J Plast Reconstr Surg. 1978;12(3):283-6. doi: 10.3109/02844317809013006.
5
The iron content of split skin grafts after general infiltration and percutaneous anaesthesia.全身浸润麻醉和经皮麻醉后断层皮片移植的铁含量
Scand J Plast Reconstr Surg. 1979;13(3):473-76. doi: 10.3109/02844317909013099.
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Percutaneous anaesthesia for dermabrasion.皮肤磨削术的经皮麻醉
Scand J Plast Reconstr Surg. 1978;12(3):287-90. doi: 10.3109/02844317809013007.
7
Effect of different types of anaesthesia including percutaneous local anaesthesia on survival of experimental skin flaps.包括经皮局部麻醉在内的不同类型麻醉对实验性皮瓣存活的影响。
Scand J Plast Reconstr Surg. 1979;13(2):237-40. doi: 10.3109/02844317909013063.
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Local application of ketocaine for treatment of referred pain in primary dysmenorrhea.局部应用酮卡因治疗原发性痛经的牵涉痛。
Acta Obstet Gynecol Scand. 1980;59(3):259-60. doi: 10.3109/00016348009155407.
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Topical analgesia for the cutting of split-skin grafts: a multicenter comparison of two doses of a lidocaine/prilocaine cream.
Plast Reconstr Surg. 1988 Sep;82(3):458-62. doi: 10.1097/00006534-198809000-00015.
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A modified, improved, easy and fast technique for split-thickness skin grafting.改良、改进、简易、快速的断层皮片移植技术。
Br J Dermatol. 2011 Sep;165(3):581-4. doi: 10.1111/j.1365-2133.2011.10431.x. Epub 2011 Jul 28.

引用本文的文献

1
A risk-benefit assessment of topical percutaneous local anaesthetics in children.儿童局部经皮局部麻醉药的风险效益评估。
Drug Saf. 1997 Apr;16(4):279-87. doi: 10.2165/00002018-199716040-00005.
2
Evaluation of a noninvasive method for monitoring percutaneous absorption of lidocaine in vivo.一种监测利多卡因体内经皮吸收的非侵入性方法的评估。
Pharm Res. 1990 Oct;7(10):1033-7. doi: 10.1023/a:1015939100073.