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将含肾上腺素的局部麻醉溶液注射至皮瓣的危害:实验研究

THe hazards of injecting local anesthetic solutions with epinephrine into flaps: experimental study.

作者信息

Wu G, Calamel P M, Shedd D P

出版信息

Plast Reconstr Surg. 1978 Sep;62(3):396-403. doi: 10.1097/00006534-197809000-00010.

DOI:10.1097/00006534-197809000-00010
PMID:358228
Abstract

In a study using paired longitudinal flaps on the back of the rat, we found evidence to support the findings of previous investigators regarding the toxic effects of injecting local anesthetic solutions containing epinephrine into delayed flaps. Epinephrine concentrations of 1:200,000 and 1:400,000 were demonstrated to significantly increase losses in these flaps. Epinephrine concentrations of 1:100,000, 1:200,000, and 1:400,000 were not demonstrated to be harmful to undelayed flaps, in the dosages used.

摘要

在一项对大鼠背部使用成对纵向皮瓣的研究中,我们发现有证据支持先前研究者关于将含肾上腺素的局部麻醉溶液注入延迟皮瓣的毒性作用的研究结果。已证实1:200,000和1:400,000的肾上腺素浓度会显著增加这些皮瓣的坏死率。在所使用的剂量下,1:100,000、1:200,000和1:400,000的肾上腺素浓度未显示对未延迟皮瓣有害。

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THe hazards of injecting local anesthetic solutions with epinephrine into flaps: experimental study.将含肾上腺素的局部麻醉溶液注射至皮瓣的危害:实验研究
Plast Reconstr Surg. 1978 Sep;62(3):396-403. doi: 10.1097/00006534-197809000-00010.
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Local anesthesia for functional endoscopic sinus surgery employing small volumes of epinephrine-containing solutions of lidocaine produces profound hypotension.在功能性鼻内镜鼻窦手术中,使用小剂量含肾上腺素的利多卡因溶液进行局部麻醉会导致严重低血压。
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Anesth Analg. 1985 Sep;64(9):924-8.

引用本文的文献

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Epinephrine, phenylephrine, and methoxamine induce infiltrative anesthesia via alpha1-adrenoceptors in rats.肾上腺素、去氧肾上腺素和甲氧明通过大鼠体内的α1-肾上腺素能受体诱导浸润麻醉。
Acta Pharmacol Sin. 2009 Sep;30(9):1227-36. doi: 10.1038/aps.2009.129.