Wajima Z, Ishikawa G, Kaneko K, Inoue T, Ogawa R
Department of Anesthesia, Kitamurayama Kohritsu Hospital, Yamagata.
Masui. 1995 Jun;44(6):841-4.
A 66-year-old woman developed herpes zoster duplex, which is a rare disease. She had severe pain at the right upper back area and left lower abdominal area. The authors used double-tapped continuous epidural analgesia for this patient. The catheters for the epidural block were placed at the 8th thoracic vertebral level and 2nd lumbar vertebral level. After the start of continuous epidural block, she suffered from nausea, vomited, and felt dizzy. It was evident that these symptoms were caused by local anesthetic toxicity. We emphasize that we must pay attention to the patient who undergoes continuous double-tapped epidural analgesia for pain relief so as not to elicit local anesthetic toxicity.
一名66岁女性患上了双侧带状疱疹，这是一种罕见疾病。她的右上背部区域和左下腹部区域有剧痛。作者对该患者采用了双点连续硬膜外镇痛。硬膜外阻滞导管分别置于第8胸椎水平和第2腰椎水平。连续硬膜外阻滞开始后，她出现恶心、呕吐和头晕。显然这些症状是由局麻药毒性引起的。我们强调，对于接受双点连续硬膜外镇痛以缓解疼痛的患者，必须予以关注，以免引发局麻药毒性。
