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[布比卡因与可乐定联合用于脊髓麻醉后幻肢痛的临时缓解]

[Temporary relief from pain in the phantom limb after spinal anesthesia using a combination of bupivacaine and clonidine].

作者信息

Gentili M E, Bonnet F

机构信息

Polyclinique Sainte-Thérèse, Lannion.

出版信息

Ann Fr Anesth Reanim. 1993;12(3):323-5. doi: 10.1016/s0750-7658(05)80660-4.

Abstract

Two cases are reported of patients with phantom limb pain after lower limb amputation and requiring surgery of their stump. The stumps were revised and the remaining femoral shaft shortened. Both had spinal anaesthesia for this procedure, with an association of bupivacaine and 150 micrograms of clonidine. In one patient, the phantom pain did not resume for one month, and in the other for three days. The return of pain was preceded by the sensation of a phantom limb. These cases suggest that alpha 2 adrenergic agonists could play a major part in the treatment of phantom limb pain.

摘要

报告了两例下肢截肢后出现幻肢痛且需要残端手术的患者。对残端进行了修复,并缩短了剩余的股骨干。两人均为此手术接受了脊髓麻醉,使用了布比卡因和150微克可乐定联合用药。其中一名患者的幻肢痛一个月未复发,另一名患者三天未复发。疼痛复发之前有幻肢感觉。这些病例表明,α2肾上腺素能激动剂可能在幻肢痛的治疗中起主要作用。

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