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0.75%布比卡因硬膜外麻醉与0.5%布比卡因和含肾上腺素的1.5%甲哌卡因硬膜外麻醉的比较(作者译)

[Epidural anesthesia with bupivacaine 0.75% in comparison with bupivacaine 0.5% and mepivacaine 1.5% with adrenaline (author's transl)].

作者信息

Jörgensen H

出版信息

Anaesthesist. 1978 Jan;27(1):SPEC SECT 11-5.

PMID:637281
Abstract

147 patients undergoing low laparotomies, perineal operations and operations on the lower limbs were given bupivacaine 0.75%, bupivacaine 0.5% or mepivacain-adrenaline 1.5% for epidural anaesthesia. The anaesthesia was most effective after bupivacaine 0.75%. In this group the intensity and duration of both sensory analgesia and motor block were more prolonged. No serious complications occurred. No increase in toxicity, when using bupivacaine 0.75% (total dose of 128 mg) for epidural anaesthesia, has been shown in this clinical trial.

摘要

147例接受下腹部手术、会阴手术和下肢手术的患者接受了0.75%布比卡因、0.5%布比卡因或1.5%甲哌卡因-肾上腺素进行硬膜外麻醉。0.75%布比卡因麻醉效果最佳。该组感觉镇痛和运动阻滞的强度及持续时间延长更明显。未发生严重并发症。该临床试验表明,硬膜外麻醉使用0.75%布比卡因(总剂量128mg)时毒性未增加。

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