脊柱手术中硬膜外镇痛的安全性和有效性。
Safety and efficacy of epidural analgesia in spine surgery.
作者信息
Reynolds A F, Dautenhahn D L, Pollay M, Fagraeus L
出版信息
Ann Surg. 1986 Feb;203(2):225-7. doi: 10.1097/00000658-198602000-00018.
Abstract
Over the last 4 years, the authors have had experience with epidural analgesia for a variety of spinal operations in 24 patients. It has proved to be safe, reliable, and effective. No patient has had a new neurological deficit as a result of the epidural technique, and 18 of 22 patients with neurological deficit improved. Thus, epidural analgesia should not be excluded from the anesthesiologist's consideration simply because of the presence of spine disease or neurological deficit.
摘要
在过去4年里，作者们对24例接受各种脊柱手术的患者实施了硬膜外镇痛。事实证明，这种方法安全、可靠且有效。没有患者因硬膜外技术出现新的神经功能缺损，22例有神经功能缺损的患者中有18例病情有所改善。因此，硬膜外镇痛不应仅仅因为存在脊柱疾病或神经功能缺损就被麻醉医生排除在考虑范围之外。
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