Racle J P, Jourdren L, Benkhadra A, Poy J Y, Fockenier F
Service d'Anesthésiologie, Centre Hospitalier, Chalon-sur-Saône.
Ann Fr Anesth Reanim. 1987;6(5):462-4. doi: 10.1016/s0750-7658(87)80375-1.
A case is reported of a congested arm occurring during intravenous regional anaesthesia with a double cuff tourniquet in a female elderly patient suffering from hypertension. The proximal cuff was apparently inflated adequately to 300 mmHg. Recent studies showed that the use of only the proximal tourniquet was associated with a risk of venous leakage. In elderly hypertensive patients, when intravenous regional anaesthesia was necessary, one would be justified in inflating the two cuffs before injection of the local anaesthetic.
报告了一例患有高血压的老年女性患者在使用双袖带止血带进行静脉区域麻醉期间出现手臂充血的病例。近端袖带显然已充分充气至300 mmHg。最近的研究表明，仅使用近端止血带存在静脉渗漏风险。在老年高血压患者中，当需要进行静脉区域麻醉时，在注射局部麻醉剂前对两个袖带进行充气是合理的。
