Huang T T, Parks D H, Lewis S R
Plast Reconstr Surg. 1979 Mar;63(3):299-303. doi: 10.1097/00006534-197903000-00001.
During the past 3 years, we have performed various breast operations in 320 patients under local anesthesia, using intercostal nerve block. The amount of local anesthetic solution required has been about 20 ml 1% lidocaine for blocking both sides, and an additional 24 ml of 0.5% lidocaine during the surgery. This dosage is well within safe limits. We have found that various breast operations, ranging from augmentation mammaplasty to a staged reconstruction after mastectomy, can be done with this method of anesthesia. The complications attributable to the nerve block were nil in our series.
在过去3年中，我们采用肋间神经阻滞，在局部麻醉下为320例患者实施了各种乳房手术。双侧阻滞所需的局部麻醉溶液量约为20毫升1%利多卡因，手术期间还需额外使用24毫升0.5%利多卡因。此剂量完全在安全范围内。我们发现，从隆乳术到乳房切除术后的分期重建等各种乳房手术，都可以用这种麻醉方法进行。在我们的系列病例中，由神经阻滞引起的并发症为零。
