Saissy J M
Med Trop (Mars). 1984 Jan-Mar;44(1):61-4.
We report our experience of spinal anesthesia using pethidine at doses of 1 ml/5 kg applied to the surgery of the vesico-vaginal fistulas in the african woman. The sensitive block lasts 80.5 +/- 15.5 min. at its maximal block stage and its recovery lasts 25.6 +/- 12.6 min. The complete block of the motor nerves, obtained in 83.3% of cases, lasts 60.5 +/- 12.4 min. The hemodynamic tolerance has always proved to be excellent. The only noticeable after effect is pruritus (13.3% of cases). This kind of anesthesia of still unknown mode of action (local anesthetic action or/and action on the morphinic receptors) seems to be a valuable alternative both to the expensive general anesthesia and to the spinal anesthesia performed with the standard local anesthetics which are allergenic and toxic . Its very low cost must be a good reason for an infra-umbilical surgery in the African countries.
我们报告了在非洲女性膀胱阴道瘘手术中使用哌替啶，剂量为1毫升/5千克进行脊髓麻醉的经验。感觉阻滞在最大阻滞阶段持续80.5±15.5分钟，恢复持续25.6±12.6分钟。在83.3%的病例中获得运动神经完全阻滞，持续60.5±12.4分钟。血流动力学耐受性一直被证明非常良好。唯一明显的后遗症是瘙痒（13.3%的病例）。这种作用方式仍不明（局部麻醉作用或/和对吗啡受体的作用）的麻醉，似乎是昂贵的全身麻醉以及使用有过敏和毒性的标准局部麻醉剂进行的脊髓麻醉的一种有价值的替代方法。其极低的成本对于非洲国家的脐下手术来说必定是一个很好的理由。
