摘要
目的:超声引导下行臂丛神经上干单点注射复合颈浅丛阻滞,观察其在老年患者锁骨内固定手术时的麻醉效果。方法择期行锁骨内固定术的老年患者22例,超声实时引导下行臂丛神经上干单点注射复合颈浅丛阻滞,局麻药为0.4%罗哌卡因,其中臂丛上干20 ml,颈浅丛10 ml。观察麻醉效果(优、良、差),记录术中阿片类药物的使用以及并发症的发生。结果22例患者均在神经阻滞下完成手术,麻醉效果优秀18例,良好4例。无阻滞失败、局麻药中毒、气胸等并发症发生。结论超声引导下行臂丛神经上干单点注射复合颈浅丛阻滞,麻醉效果可靠,并发症较少,是老年患者锁骨内固定手术较为理想的麻醉方式。
Objective To evaluate the efficacy of ultrasound-guided combined upper trunk of brachial plexus and superficial cervical plexus block in older patients undergoing clavicle surgery.Methods Totall 22 ASA II~Ⅳolder patients were scheduled for clavicle surgery,injecte with 20 ml 0.4%ropivacaine at upper trunk of brachial plexus and 10 ml at superficial cervical plexus by ultrasound guid.Observed the effect(excellent,good and failure)and complications of block.Recorded the dosage of Fentanly during the operation.Results All 22 patients completed the operation by the nerve block.The effect of block is excellent in 18 cases and good in 4 cases.No complications such as vascular puncture,toxic reaction and pneumothorax oceurred.Conclusion It is reliable that block the upper trunk of brachial plexus and superficial cervical plexus by ultrasound-guid in older patients undergoing clavicle surgery.
作者
董敏
吴文春
曹雅军
邓孝桢
吕宏伟
DONG Min;WU Wen-chun;CAO Ya-jun;DENG Xiao-zhen;LV Hong-wei(Department of Anesthesia,Xiangyang Traditional Chinese Medicine Hospital Affiliated to Hubei University of Traditional Chinese Medicine,Xiangfan 441000,Hubei,China)
关键词
锁骨骨折
超声引导
神经阻滞
Clavicular fracture
Ultrasound-guid
Nerve block
