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“阻力点”法在腋路臂丛阻滞中的临床应用(作者译)

[The clinical application of the "locus of resistance" method for axillary plexus block (author's transl)].

作者信息

Ilias W, Fitzal S, Mutz N, Scherzer W, Tonczar L

出版信息

Anaesthesist. 1981 Oct;30(10):68-9.

PMID:7304912
Abstract

We describe a new method of axillary brachial plexus block, the principle of which is to verify the position of the needle in the perivascular tissue not by paraesthesia but by the "loss of resistance" measured when penetrating the perivascular sheath. This method has been developed from the well known "loss of resistance" technique used in epidural anaesthesia and has been tested in practice as well as in theory. This technique not only guarantees greater accuracy in locating the perivascular tissue, but also opens the possibility of decreasing the incidence of lesions of nerves and vessels.

摘要

我们描述了一种新的腋路臂丛神经阻滞方法,其原理是通过穿刺血管周围鞘时测量的“阻力消失”来确定针在血管周围组织中的位置,而不是通过异感。该方法是在硬膜外麻醉中使用的著名“阻力消失”技术的基础上发展而来的,并已在实践和理论上进行了测试。该技术不仅能保证在定位血管周围组织时具有更高的准确性,还为降低神经和血管损伤的发生率提供了可能性。

相似文献

1
[The clinical application of the "locus of resistance" method for axillary plexus block (author's transl)].“阻力点”法在腋路臂丛阻滞中的临床应用(作者译)
Anaesthesist. 1981 Oct;30(10):68-9.
2
[Modification of axillary plexus block with the loss-of-resistance method using a blunt needle].[使用钝针采用阻力消失法改良腋路臂丛神经阻滞]
Reg Anaesth. 1983 Apr;6(2):36-9.
3
[A new catheter set for continuous axillary plexus anesthesia].[一种用于连续腋路臂丛神经阻滞麻醉的新型导管套件]
Reg Anaesth. 1983 Apr;6(2):43-6.
4
Brachial plexus anesthesia: an analysis of options.臂丛神经麻醉:选择分析
Yale J Biol Med. 1993 Sep-Oct;66(5):415-31.
5
[Blunt needle technique for axillary block (author's transl)].腋路阻滞的钝针技术(作者译)
Masui. 1980 Mar;29(3):284-6.
6
Brachial plexus block using a nerve stimulator and a conventional needle.
Osaka City Med J. 1994 Jul;40(1):27-30.
7
[New landmarks for the subclavian approach of the brachial plexus. (With 44 clinical cases) (author's transl)].臂丛神经锁骨下入路的新标志。(附44例临床病例)(作者译)
Anesth Analg (Paris). 1980;37(11-12):727-9.
8
[Plexus analgesia in childhood with special consideration of the "loss of resistance"-method and psychic care of children (author's transl)].
Z Kinderchir Grenzgeb. 1980 Jul;30 Suppl:14-7.
9
Area of paresthesia as determinant of sensory block in axillary brachial plexus block.感觉异常区域作为腋路臂丛神经阻滞中感觉阻滞的决定因素
Reg Anesth. 1995 Nov-Dec;20(6):493-7.
10
The incidence of neurovascular complications following axillary brachial plexus block using a transarterial approach. A prospective study of 1,000 consecutive patients.采用经动脉途径进行腋路臂丛神经阻滞术后神经血管并发症的发生率。对1000例连续患者的前瞻性研究。
Reg Anesth. 1995 Nov-Dec;20(6):486-92.

引用本文的文献

1
[Regional anesthesia in the area of the upper extremity. Axillary technic].[上肢区域麻醉。腋路技术]
Langenbecks Arch Chir. 1982;358:345-7. doi: 10.1007/BF01271813.
2
An unusual procedure in performing brachial plexus block.
Arch Orthop Trauma Surg (1978). 1983;101(4):297-9. doi: 10.1007/BF00379947.