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| 題 名 | Temporary Femoral Nerve Palsy after Ilioinguinal Nerve Blockade Combined with Splash Block for Post-inguinal Herniorrhaphy Analgesia in a Pediatric Patient=髂腹股溝神經阻斷術合併局部麻醉劑浸潤於小兒腹股溝疝氣修補手術後引發暫時性股神經麻痺 |
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| 作 者 | 蔡東穎; 黃友聖; 蔡玉娟; 劉彥青; | 書刊名 | 麻醉學雜誌 |
| 卷 期 | 45:4 2007.12[民96.12] |
| 頁 次 | 頁237-240 |
| 分類號 | 416.5 |
| 關鍵詞 | 髂腹股溝神經阻斷術; 股神經; 麻痺; Nerve block: ilioinguinal; Femoral nerve; Paralysis: palsy; |
| 語 文 | 英文(English) |
| 中文摘要 | 一位健康的七歲男孩接受右側腹股溝疝氣修補手術。麻醉誘導完成後, 我們使用小劑量的lidocaine,在手術側為病人進行髂腹股溝神經阻斷術。手術成功的進行。外科醫師在關閉傷口前使用bupivacaine進行傷口的局部浸潤。手術結束後至恢復室觀察,當病人意識清醒時,開刀傷口完全沒有疼痛的情形,當病人嘗試行走時,發現無法抬起右大腿,合併有右大腿前側感覺喪失的現象。持續觀察八小時後,病人的神經症狀逐漸消失至完全恢復的狀態。本文彙整了國內外關於髂腹股溝神經阻斷術後發生暫時性股神經麻痺的報告,並探討發生的機轉與處置方法。 |
| 英文摘要 | Transient femoral nerve palsy (TFNP) is a complication of ilioinguinal nerve block that may result from spread of large volumes of local anesthetics at the inner surface of the different fascialplanes. We report a 7-year-old healthy boy who underwent right inguinal hernia repair under general anesthesia. After induction of anesthesia, a percutaneous ilioinguinal nerve block was performed with 3 mL of 2% lidocaine in single-shot. Before wound closure, the surgeon performed a splash block onto the wound with infiltration of 1.5 mL 0.25% bupivacaine. In the recovery room, quadriceps weakness and sensory loss over the anterior thigh were noted. The patient made a complete recovery 8 hrs after surgery without any treatment. We discuss the mechanism of this complication and strategies to reduce this complication. |
本系統中英文摘要資訊取自各篇刊載內容。