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健康志愿者肋间神经阻滞的影像学研究。

Radiographic study of intercostal nerve blockade in healthy volunteers.

作者信息

Crossley A W, Hosie H E

出版信息

Br J Anaesth. 1987 Feb;59(2):149-54. doi: 10.1093/bja/59.2.149.

DOI:10.1093/bja/59.2.149
PMID:3828164
Abstract

The spread of solutions injected to the intercostal space was studied in 10 healthy volunteers. Up to 20 ml of a 50:50 mixture of local anaesthetic solution and a radiopaque dye was injected through a modified extradural catheter placed in an intercostal space at the posterior angle of the rib. Radiographic films demonstrated spread by an extrapleural route into adjacent intercostal spaces and this was confirmed by the occurrence of analgesia in the corresponding dermatomes. The relevance of these results to clinical practice is discussed.

摘要

在10名健康志愿者身上研究了注入肋间间隙的溶液的扩散情况。通过置于肋骨后角肋间间隙的改良硬膜外导管,注入高达20毫升局部麻醉溶液与不透射线染料按50:50比例混合的溶液。X线片显示溶液通过胸膜外途径扩散至相邻肋间间隙,相应皮节出现镇痛证实了这一点。讨论了这些结果与临床实践的相关性。

相似文献

1
Radiographic study of intercostal nerve blockade in healthy volunteers.健康志愿者肋间神经阻滞的影像学研究。
Br J Anaesth. 1987 Feb;59(2):149-54. doi: 10.1093/bja/59.2.149.
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Continuous intercostal nerve blockade. An anatomical study to elucidate its mode of action.
Br J Anaesth. 1984 Jun;56(6):627-30. doi: 10.1093/bja/56.6.627.
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Multiple intercostal blocks by a single injection? A clinical and radiological investigation.单次注射进行多处肋间阻滞?一项临床与放射学调查。
Acta Anaesthesiol Scand. 1985 Jul;29(5):524-8. doi: 10.1111/j.1399-6576.1985.tb02247.x.
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Postoperative paravertebral blocks for thoracic surgery. A radiological appraisal.胸外科手术后椎旁阻滞的影像学评估
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Alternative method of intercostal blockade. A preliminary study of the use of an injector gun for intercostal nerve blockade.肋间阻滞的替代方法。使用注射枪进行肋间神经阻滞的初步研究。
Anaesthesia. 1981 Mar;36(3):304-6. doi: 10.1111/j.1365-2044.1981.tb10207.x.
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引用本文的文献

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Use of general anesthetic only vs general anesthetic combined with paravertebral block for perioperative pain management after first rib resection.单纯使用全身麻醉与全身麻醉联合椎旁阻滞用于第一肋骨切除术后围手术期疼痛管理的比较
Proc (Bayl Univ Med Cent). 2002 Oct;15(4):374-5. doi: 10.1080/08998280.2002.11927868.
2
Analgesic and pulmonary effects of continuous intercostal nerve block following thoracotomy.开胸术后连续肋间神经阻滞的镇痛和肺部效应
Can J Anaesth. 1991 Sep;38(6):733-9. doi: 10.1007/BF03008451.