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肌间沟臂丛神经阻滞术后出现永久性膈肌麻痹：病例报告。

Permanent hemidiaphragmatic paresis after interscalene brachial plexus block: a case report.

机构信息

Centre Hospitalier de Montauban, Département d'Anesthésia, France.

Centre Hospitalier de Montauban, Département d'Anesthésia, France.

出版信息

Braz J Anesthesiol. 2021 Mar-Apr;71(2):175-177. doi: 10.1016/j.bjane.2021.02.009. Epub 2021 Feb 3.

DOI:10.1016/j.bjane.2021.02.009
PMID:33894860
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9373430/
Abstract

Interscalene brachial plexus block has been widely used in shoulder surgery. We report one case of long-term phrenic palsy following ultrasound-guided interscalene brachial plexus block and we will discuss the possible etiology and mechanism of this disability. For painful shoulder surgery, ultrasound-guided interscalene brachial plexus block remains topical. Alternative blocks, such as suprascapular and axillary blocks, may be reserved for patients with pre-existing respiratory pathology.

摘要

经超声引导的锁骨下臂丛神经阻滞已广泛应用于肩部手术。我们报告一例超声引导的锁骨下臂丛神经阻滞后出现长期膈神经麻痹，并讨论这种残疾的可能病因和机制。对于肩部疼痛手术，超声引导的锁骨下臂丛神经阻滞仍然是一个热点。对于有预先存在的呼吸系统疾病的患者，可以选择其他阻滞方法，如肩胛上和腋路阻滞。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/34a1/9373430/a83c7f5e9da0/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/34a1/9373430/a83c7f5e9da0/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/34a1/9373430/a83c7f5e9da0/gr1.jpg

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本文引用的文献

1
Diaphragmatic dysfunction.膈肌功能障碍。
Pulmonology. 2019 Jul-Aug;25(4):223-235. doi: 10.1016/j.pulmoe.2018.10.008. Epub 2018 Dec 1.
2
Diaphragmatic paralysis in obese patients in arthroscopic shoulder surgery: consequences and causes.肥胖患者肩关节镜手术中膈肌麻痹：后果与原因
J Anesth. 2018 Jun;32(3):333-340. doi: 10.1007/s00540-018-2477-9. Epub 2018 Mar 6.
3
Phrenic Nerve Palsy and Regional Anesthesia for Shoulder Surgery: Anatomical, Physiologic, and Clinical Considerations.膈神经麻痹与肩部手术的区域麻醉：解剖学、生理学及临床考量
Anesthesiology. 2017 Jul;127(1):173-191. doi: 10.1097/ALN.0000000000001668.
4
Phrenic nerve palsy following interscalene brachial plexus block; a long lasting serious complication.肌间沟臂丛神经阻滞术后膈神经麻痹；一种持久的严重并发症。
Acta Anaesthesiol Belg. 2015;66(3):91-4.
5
Comparison of economical aspects of interscalene brachial plexus blockade and general anaesthesia for arthroscopic shoulder surgery.用于关节镜下肩部手术的肌间沟臂丛神经阻滞与全身麻醉的经济方面比较。
Br J Anaesth. 2009 Sep;103(3):428-33. doi: 10.1093/bja/aep173. Epub 2009 Jul 8.
6
Effect of local anaesthetic volume (20 vs 5 ml) on the efficacy and respiratory consequences of ultrasound-guided interscalene brachial plexus block.局部麻醉药容量（20毫升与5毫升）对超声引导下肌间沟臂丛神经阻滞疗效及呼吸影响的作用
Br J Anaesth. 2008 Oct;101(4):549-56. doi: 10.1093/bja/aen229. Epub 2008 Aug 4.
7
Functional recovery of diaphragm paralysis: a long-term follow-up study.膈神经麻痹的功能恢复：一项长期随访研究。
Respir Med. 2008 May;102(5):690-8. doi: 10.1016/j.rmed.2008.01.001. Epub 2008 Feb 13.
8
Pulmonary function after complete unilateral phrenic nerve transection.单侧膈神经完全横断后的肺功能
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10
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