Takeda T, Iida H, Ohta S, Oda A, Abe K, Oohata H, Akamatsu S, Dohi S
Department of Anesthesiology and Critical Care Medicine, Gifu University School of Medicine.
Masui. 1998 Mar;47(3):346-9.
Epidural block is very useful in the treatment of herpetic pain and post herpetic neuralgia. However, in the elderly patients with cardiac disease or diabetes mellitus, severe cardiovascular changes may occur by epidural block. Epidural block caused severe hypotension in two elderly patients with herpetic pain and post herpetic neuralgia who had diabetes mellitus or hypertension. Continuous thoracic sympathetic ganglion block with local anesthetics through a placed catheter reduced their pain and caused almost no changes in cardiovascular system.
硬膜外阻滞在治疗疱疹性疼痛和疱疹后神经痛方面非常有用。然而，在患有心脏病或糖尿病的老年患者中，硬膜外阻滞可能会引起严重的心血管变化。硬膜外阻滞导致两名患有疱疹性疼痛和疱疹后神经痛且患有糖尿病或高血压的老年患者出现严重低血压。通过放置的导管用局部麻醉药持续进行胸交感神经节阻滞减轻了他们的疼痛，并且几乎未引起心血管系统的变化。
