Ko W R, Chao C C, Wang C M, Lin C H, Chen M H, Lin H J, Lin Y K
Department of Anesthesia, Taipei Municipal Jen-Ai Hospital, Taipei.
Acta Anaesthesiol Sin. 1994 Mar;32(1):31-6.
In 1986-1988, the authors had experiences with thoracic epidural anesthesia for a variety of major abdominal operations in 303 patients. It is proved to be reliable and effective. The puncture levels were between T8 to T12. 2% lidocaine, in plain form or with 1:200,000 epinephrine, was used as anesthetic agent. Perioperative complications were carefully managed with satisfactory results. Post-operative conditions were evaluated and seemed to be superior to those of general anesthesia in many aspects. No patient had neurologic deficit as a result of the epidural anesthesia. We concluded that thoracic epidural anesthesia is an excellent alternative technique in major abdominal surgeries.
1986年至1988年期间，作者对303例各类腹部大手术患者实施了胸段硬膜外麻醉。结果证明这种麻醉方法可靠且有效。穿刺节段在T8至T12之间。使用单纯的2%利多卡因或含1:200,000肾上腺素的2%利多卡因作为麻醉剂。对围手术期并发症进行了精心处理，结果令人满意。对术后情况进行了评估，在许多方面似乎优于全身麻醉。没有患者因硬膜外麻醉出现神经功能缺损。我们得出结论，胸段硬膜外麻醉是腹部大手术中一种出色的替代技术。
