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电子期刊 >> 正文 |
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摘要：
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目的:了解硬膜外麻醉单次快速给药时药物的弥散性及方向性.方法:将施行硬膜外麻醉的患者随机分两组,实验组快速给予麻醉药及显影剂(30 ml/s),对照组常规给予麻醉药(附加显影剂),药物弥散性及方向由放射自显影法探测.结果:实验组麻醉平面增加约30%,阻滞确切,与对照组有显著性差异(P＜0.01),并发现药物流动方向与穿刺针斜面方向有关.结论:硬膜外麻醉单次快速给药较传统方法更为有效,不良反应更少,药物流动方向与穿刺针斜面同向.
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参考文献：
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Blomberg RG The lumbar sudbury extra arachnoid space of humans:an atomica study using spinaloscopy in autopsy cases 1987 Park W Y Direction of needle and epidural anesthrtic spread 1982 Brodner G.Pogatzhi E.Aken HV A multimdal approach to control post - operative pathophysiology and reabilition in patients undergoing abdominthoratic esophagectomy 1998 Park WY.Thompson JS.Lee KK Effect of epidural anesthesia and analgesia on perioperative outcom 2001 Buggy DJ.Smith G Epidural anesthesia and analgesia: better outcom after major surgery? 1999 Liu S.Carpenter RL.Neal JM Epidural anesthesia and analgesia their role in postoperative outcom 1995 张建军 0.375%布比卡因和1%利多卡因混合液用于硬膜外阻滞586例临床体会 1996(6)
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