Catoire P, Bonnet F
Unité de Réanimation Chirurgicale, Hôpital Henri-Mondor, Créteil.
Cah Anesthesiol. 1994;42(6):809-14.
Pain is a major factor of respiratory decompensation after chest trauma. General and/or regional analgesia improve alveolar ventilation, make physiotherapy easier and often avoid mechanical ventilation. Concerning regional techniques, epidural, intercostal and interpleural routes have their respective indications and contraindications, benefits and risks. When suitable, epidural analgesia appears to be the preferable technique.
疼痛是胸部创伤后呼吸代偿失调的主要因素。全身和/或区域镇痛可改善肺泡通气，使物理治疗更容易进行，且常常可避免机械通气。关于区域技术，硬膜外、肋间和胸膜内途径各有其适应证和禁忌证、益处和风险。在合适的情况下，硬膜外镇痛似乎是更可取的技术。
