摘要
外周神经阻滞(PNB)作为一种历史悠久的麻醉技术,被广泛应用于各类外科手术的麻醉及围术期疼痛管理。随着神经刺激器特别是超声可视化的应用,PNB重新得到认可并取得更广泛的应用。PNB是一个有创操作,必然会带来围术期神经损伤的风险。我们通过查阅文献,了解并阐述PNB相关的围术期神经损伤机制及各种可能的影响因素,为降低PNB相关神经损伤发生率提供解决方案,并针对可能发生的神经损伤给出有效的诊断及治疗措施。
Peripheral nerve block(PNB)is an anesthetic techniques with a long history and has been widely applied in variety kinds of surgical anesthesia and pain management.With nerve stimulator adoption,especially the application of ultrasonic visualization,PNB began to be recognized and got more extensive application.PNB was an invasive procedure,which inevitably leads to some complications or unnoticed complications.By retrieving recent published articles,we elaborated the mechanism and factors of nerve injury associated with PNBs and provided solution for decreasing the rate of nerve injury as well as the diagnosis and treatment.
作者
刘天柱
万里
LIU Tianzhu;WAN LL(Department of Anesthesiology ,Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430030, China)
出处
《临床外科杂志》
2019年第6期534-536,共3页
Journal of Clinical Surgery
关键词
外周神经阻滞
神经损伤
peripheral nerve blocks
nerve injury
