[全脊髓麻痹作为臂丛神经阻滞的并发症]
[Total spinal paralysis as complication of brachial plexus block].
作者信息
Strelets B M, Tsvetkov V A, Evtiukhov A N
出版信息
Anesteziol Reanimatol. 1993 May-Jun(3):65-6.
PMID:7943912
Abstract
Local anesthesia of the brachial plexus by interscalenic approach was a cause of total spinal blockade due to the administration of a local anesthetic into subarachnoid space. To prevent this it is necessary to administer a test dose of a local anesthetic with pre-aspiration of the liquor with a syringe. Intensive care procedures should be aimed at maintenance of adequate hemodynamics and gas exchange and to liquidation of circulating blood volume deficiency.
摘要
经肌间沟入路臂丛神经局部麻醉因将局部麻醉药注入蛛网膜下腔而导致全脊髓阻滞。为预防此情况，有必要在使用注射器回抽脑脊液后给予局部麻醉药试验剂量。重症监护程序应旨在维持充足的血流动力学和气体交换，并消除循环血容量不足。
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