Scholl W, Makowski H V
Anaesthesist. 1977 Mar;26(3):151-2.
In a 59-year-old female, anaesthetized with halothane, nitrous oxide/oxygen, intercostal nerve blocks were performed after right lateral thoracotomy. Before closure of the chest four segments were blocked each with 3 ml 0.5% bupivacain (Marcain, Carbostesin) without adrenaline. Three minutes after the last injection, the blood pressure, heart rate, and central venous pressure fell. The postoperative neurological status showed a high spinal anaesthesia. The patient was able to be extubated 90' after the last block and there were no further complications. The possible mechanism of producing spinal anaesthesia after peripheral nerve blocks and the necessary precautions to avoid this complication are discussed.
在一名59岁接受氟烷、氧化亚氮/氧气麻醉的女性患者中，右侧开胸术后进行了肋间神经阻滞。在关闭胸腔前，用3毫升0.5%布比卡因（耐乐品、卡波卡因）对四个节段进行阻滞，未加肾上腺素。最后一次注射后三分钟，血压、心率和中心静脉压下降。术后神经状态显示为高位脊髓麻醉。患者在最后一次阻滞90分钟后能够拔管，且无进一步并发症。本文讨论了外周神经阻滞后产生脊髓麻醉的可能机制以及避免该并发症的必要预防措施。
