Uncles D R, Glynn C J, Carrie L E
Nuffield Department of Anaesthetics, John Radcliffe Hospital, Headington, Oxford.
Anaesthesia. 1996 Jan;51(1):69-70. doi: 10.1111/j.1365-2044.1996.tb07657.x.
The triggering of phantom limb pain by subarachnoid or epidural anaesthesia has been well described leading to the suggestion that neuraxial regional anaesthesia is relatively contraindicated in lower limb amputees. We report our experience of the provision of anaesthesia for repeat Caesarean section on two occasions in such a patient. Intrathecal fentanyl and morphine supplementation of bupivacaine successfully abolished peri-operative phantom limb pain, whereas epidural anaesthesia was associated with recurrence of phantom limb pain upon regression of the block.
蛛网膜下腔或硬膜外麻醉引发幻肢痛的情况已有详尽描述，这使得有人提出在下肢截肢患者中相对禁忌使用神经轴区域麻醉。我们报告了为一名此类患者两次进行剖宫产手术提供麻醉的经验。鞘内注射芬太尼和吗啡辅助布比卡因成功消除了围手术期的幻肢痛，而硬膜外麻醉在阻滞消退后幻肢痛复发。
