肋间神经阻滞镇痛与膈神经麻痹

Interpleural analgesia and phrenic nerve paralysis.

作者信息

Lauder G R

机构信息

Shackleton Department of Anaesthetics, Southampton General Hospital.

出版信息

Anaesthesia. 1993 Apr;48(4):315-6. doi: 10.1111/j.1365-2044.1993.tb06951.x.

DOI:10.1111/j.1365-2044.1993.tb06951.x

PMID:8494133

Abstract

A case of phrenic nerve paralysis following interpleural analgesia for cholecystectomy is reported. The pre-operative chest X ray was normal but chest X ray after cholecystectomy and interpleural analgesia revealed a raised right hemidiaphragm. This resolved after discontinuation of the interpleural analgesia and was probably a result of phrenic nerve paralysis produced by the interpleural local anaesthetic.

摘要

报告了一例胆囊切除术中经胸膜间镇痛后发生膈神经麻痹的病例。术前胸部X光片正常，但胆囊切除术后及经胸膜间镇痛后的胸部X光片显示右半膈抬高。停用经胸膜间镇痛后此情况得到缓解，这可能是经胸膜间局部麻醉药导致膈神经麻痹的结果。