眼科手术球周阻滞的临床经验。
Clinical experience with the peribulbar block for ophthalmologic surgery.
作者信息
Ahmad S, Ahmad A, Benzon H T
机构信息
Department of Anesthesiology, Northwestern University Medical School, Chicago, Illinois 60611.
出版信息
Reg Anesth. 1993 May-Jun;18(3):184-8.
BACKGROUND AND OBJECTIVES
The peribulbar block is a safe and reliable alternative to the retrobulbar block. In this clinical report, we describe the anatomy of the orbit and the technique involved in performing the block.
METHODS
The technique is not new, and modifications from the original paper by Mandel and Davis are few but significant. Complications include peribulbar hemorrhage, perforation of the globe and intravascular injection.
RESULTS
In our experience of 2600 peribulbar blocks, we have seen five patients with minor peribulbar hemorrhage.
CONCLUSIONS
Supplementation of the block was required in 3% of the patients.
背景与目的
球周阻滞是球后阻滞一种安全可靠的替代方法。在本临床报告中，我们描述眼眶的解剖结构以及实施该阻滞的相关技术。
方法
该技术并非新方法，与Mandel和Davis的原始论文相比，改动虽少但意义重大。并发症包括球周出血、眼球穿孔和血管内注射。
结果
根据我们2600例球周阻滞的经验，我们发现有5例患者出现轻微球周出血。
结论
3%的患者需要追加阻滞。
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