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題 名 | Ultrasound-Guided Axillary Brachial Plexus Block in Patients with Chronic Renal Failure: Report of Sixteen Cases=腎衰竭病人經超音波導引腋下臂神經叢阻斷術:十六病例報告 |
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作 者 | 柳復兆; 李隆億; 劉錦棠; 許汝寧; 呂炳榮; | 書刊名 | 長庚醫學 |
卷 期 | 28:3 2005.03[民94.03] |
頁 次 | 頁180-185 |
分類號 | 416.5 |
關鍵詞 | 超音波導引; 腋神經叢阻斷; 末期腎病; Ultrasound-guided; Axillary plexus block; End-stage renal disease; |
語 文 | 英文(English) |
中文摘要 | In this report, 16 patients with end-stage renal disease undergoing forearm arteriovenous shunt surgery were subjected to an ultrasound-guided axillary approach for brachial plexus nerve block. Two doses of 15 ml lidocaine 1.5% were injected using a double-shot technique The spread of the solution within the plexus sheath could be visualized using a high-resolution 12-MHz imaging probe. Most patients (94%) experienced an excellent analgesia in the regions innervated by median, ulnar and radial nerves with a lower percentage of complete analgesia (63%) in the areas innervated by musculocutaneous nerve. Three patients, who complained of pain during the surgery required further supplements of narcotics. There were no complications such as, nerve injury, puncture of the axillary vessels or other systemic reactions. This technique provides adequate analgesia – without complications and without difficulty – for extremity surgery in patients with end-stage renal diseases. |
英文摘要 | 腎衰竭者為手術中常見之高危險病人,並易引發手術麻醉後不少併發症。藉著超音波輔助使用在腎衰竭病人身上之神經阻斷麻醉術,文獻上報告很少。我們在16位腎病末期接受前臂動靜脈分流術和血管重建移植術病患身上、利用高解析度12-MHz探頭之超音波導引順利完成腋下臂神經叢阻斷。我們使用雙次注射法,每次注射15毫升濃度1.5%之lidocaine局部麻醉,第一次注射位置在腋動脈外側;第二次注射位置在腋動脈內側。16位病人中有94%病人在正中、尺和橈神經支配部分獲得良好止痛效果,而止痛效果較差的情形則分佈在肌皮神經支配的範圍,僅63%病人有良好止痛效果;其中有3位病人在術中會感覺疼痛,疼痛情形在給予靜脈止痛藥物後改善,其餘病人均獲得良好麻醉阻斷。由於此麻醉方式操作簡單且過程均在超音波影像下執行,故能提供較高之準確性、安全性和舒適性。整個麻醉中,無血管穿破、神經電擊和麻醉藥物反應的現象,也無任何麻醉併發症產生。 |
本系統中英文摘要資訊取自各篇刊載內容。