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[肢体冻伤中的持续交感神经阻滞]

[Continuous sympathetic blockade in frostbite of the extremities].

作者信息

Wolf C, Diem E

出版信息

Hautarzt. 1985 Dec;36(12):688-90.

PMID:4086298
Abstract

Continuous epidural anesthesia, started 6 h after severe cold injury of the extremities and continued for 3 days, resulted in complete clinical remission of the frozen areas of the feet. In contrast, repeated stellate ganglion block, started 72 h after cold injury, failed to prevent the development of necroses in the frozen parts of the hands, so that plastic surgery was required.

摘要

连续硬膜外麻醉在四肢严重冻伤6小时后开始,持续3天,导致足部冻伤区域完全临床缓解。相比之下,在冻伤72小时后开始的反复星状神经节阻滞未能防止手部冻伤部位坏死的发展,因此需要进行整形手术。

相似文献

1
[Continuous sympathetic blockade in frostbite of the extremities].[肢体冻伤中的持续交感神经阻滞]
Hautarzt. 1985 Dec;36(12):688-90.
2
[Treatment of frostbite of the extremities by combined axillary plexus and peridural anesthesia: a case report including blood levels of bupivacaine].[腋神经丛联合硬膜外麻醉治疗肢体冻伤:1例病例报告及布比卡因血药浓度]
Reg Anaesth. 1987 Jul;10(3):93-5.
3
Treatment of frostbites of the upper extremities with prolonged blockade of axillary plexus.采用腋神经丛长时间阻滞治疗上肢冻伤
Acta Chir Plast. 1989;31(3):163-71.
4
[Continuous epidural blockade for frostbite of the lower extremities (author's transl)].下肢冻伤的连续硬膜外阻滞(作者译)
Anaesthesist. 1980 Jun;29(6):339-40.
5
Lumbar epidural sympathectomy for frostbite injuries of the feet.
Mil Med. 1999 Aug;164(8):566-7.
6
Physiologic effects of stellate ganglion block: a result of complete ganglion blockade or the vertical spread of local anesthetic?星状神经节阻滞的生理效应:完全神经节阻滞的结果还是局部麻醉药的纵向扩散?
J Ark Med Soc. 2000 Feb;96(9):346-8.
7
[Management of frostbite of the lower limbs by continuous epidural blockade].[连续硬膜外阻滞治疗下肢冻伤]
Orv Hetil. 1986 Jan 5;127(1):27-30.
8
[Prolonged epidural anesthesia in the treatment of frostbite].[长时间硬膜外麻醉治疗冻伤]
Khirurgiia (Mosk). 2000(3):42-3.
9
[The spread of thoracic epidural anesthesia].[胸段硬膜外麻醉的传播]
Masui. 1994 Sep;43(9):1328-35.
10
Time course of sympathetic blockade during epidural anesthesia: laser Doppler flowmetry studies of regional skin perfusion.硬膜外麻醉期间交感神经阻滞的时间进程:区域皮肤灌注的激光多普勒血流仪研究
Anesth Analg. 1993 Feb;76(2):289-94.