Hempel V
Klinik für Anaesthesiologie, Krankenanstalten Konstanz.
Anaesthesist. 1993 Feb;42(2):119-28.
Stellate ganglion block is a selective sympathetic blockade affecting one side of the head and neck, and the upper extremity and upper part of the thorax on the same side. It is an important method of treating impaired vascular circulation, sympathetic reflex dystrophy, causalgia and herpes zoster in the area other indications, e.g. acute hearing loss and retinal arterial spasms, are still disputed. The anatomy of the cervical sympathetic chain, the technique used to achieve the block (paratracheal access) and tests of the effectiveness of stellate ganglion blockade are described. The side-effects and complications of the method and other means of sympathetic blockade are discussed. Patients need to be informed of the possible complications and the alternatives available before being asked to give informed consent.
星状神经节阻滞是一种选择性交感神经阻滞，影响头部和颈部的一侧、同侧上肢及胸部上部。它是治疗该区域血管循环障碍、交感反射性营养不良、灼痛和带状疱疹的重要方法，其他适应证（如急性听力丧失和视网膜动脉痉挛）仍存在争议。文中描述了颈交感神经链的解剖结构、实施阻滞的技术（经气管旁入路）以及星状神经节阻滞效果的检测方法。讨论了该方法及其他交感神经阻滞方法的副作用和并发症。在要求患者签署知情同意书之前，需要告知他们可能出现的并发症及可用的替代方法。
