Vitenbek I A
Vestn Khir Im I I Grek. 1987 Oct;139(10):120-4.
The permeability of spinal dura mater (DM) in 14 people after sudden death was studied on the model of peridural analgesia with morphine and dikain. The DM permeability was found to linearly increase in caudal direction and within the limits of 10 segments of thoracolumbar section of the peridural space (from T2-3 to L1-2) it is increased by 170% for morphine and 200% for dikain. The diffusion of 14-18% of the epidurally injected dosage of morphine and 18-27% of dikain through the dura mater takes place depending on the segmentary level. This correlation should be taken into account for the achievement of the most pronounced antinociceptive effect and prevention of complications.
在14例猝死患者身上,采用吗啡和地卡因硬膜外镇痛模型,研究了脊髓硬脊膜(DM)的通透性。发现硬脊膜通透性在尾侧方向呈线性增加,在硬膜外腔胸腰段10个节段范围内(从T2 - 3至L1 - 2),吗啡的通透性增加170%,地卡因增加200%。根据节段水平,硬膜外注射剂量的14 - 18%的吗啡和18 - 27%的地卡因可通过硬脊膜扩散。为达到最显著的镇痛效果并预防并发症,应考虑这种相关性。