Berger A, Tizian C
Handchir Mikrochir Plast Chir. 1985 May;17(3):161-5.
After a free myocutaneous flap transfer to the lower leg the necessary circulation may be prevented by spasm of the donor vessel, despite of a tension-free anastomosis. Application of bupivacaine-hydrochloride through a peridural catheter results in a sympathetic blockade. The ability thus to influence vascular spasms pharmacologically has been evaluated. Three clinical cases are presented discussing the surgical consequences of such pharmacological intervention.
在将游离肌皮瓣转移至小腿后，尽管吻合口无张力，但供体血管痉挛可能会阻碍必要的血液循环。通过硬膜外导管应用盐酸布比卡因可导致交感神经阻滞。人们已经评估了如此通过药理学方法影响血管痉挛的能力。本文介绍了三个临床病例，讨论了这种药理学干预的手术后果。
