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利多卡因在单次肿胀法吸脂术中的用量
引用本文:李斌,马晓冰,王晓军,赵红艺,钱文江. 利多卡因在单次肿胀法吸脂术中的用量[J]. 河北医科大学学报, 2003, 24(6): 350-352
作者姓名:李斌  马晓冰  王晓军  赵红艺  钱文江
作者单位:卫生部北京医院整形外科,北京,100730
摘    要:目的研究肿胀法大量脂肪抽吸术中单次手术利多卡因的安全用量。方法采用回顾性研究。通过临床观察、研究积累病历 ,统计新的利多卡因安全用量。结果经 91例患者的临床治疗 ,利多卡因在肿胀法吸脂术中的新用量 :平均每位患者单次手术为 2 891.3mg ;其中 2 3例平均用量达 4 7.89mg/kg体质量 ,最大量为 77.36mg/kg体质量。所有纳入研究的患者 ,没有因利多卡因过量而出现毒副作用。 结论本临床研究中 ,单次脂肪抽吸术中新的利多卡因用量均值为 4 7.89mg/kg体质量 ,最大用量目前已达 77.36mg/kg体质量。如果必需 ,不排除再增加用量的可能。

关 键 词:利多卡因  脂肪切除术  麻醉  局部
文章编号:1007-3205(2003)06-0350-03
修稿时间:2003-03-17

THE DOSAGE OF LIDOCAINE IN LARGE-VOLUME ONE -TOUCH TUMESCENT LIPOSUCTION
LI Bin,MA Xiao-bing,WANG Xiao-jun,ZHAO Hong-yi,QIAN Wen-jiang. THE DOSAGE OF LIDOCAINE IN LARGE-VOLUME ONE -TOUCH TUMESCENT LIPOSUCTION[J]. Journal of Hebei Medical University, 2003, 24(6): 350-352
Authors:LI Bin  MA Xiao-bing  WANG Xiao-jun  ZHAO Hong-yi  QIAN Wen-jiang
Abstract:ObjectiveTo discuss the safe lidocaine dosage in one-touch large-volume tumescent liposuction. MethodsRetrospective study was adopted. Get the safe lidocaine dosage by clinical observation and accumulated-cases study. ResultsFor the 91 patients treated in the series, the average lidocaine dosage during one -touch large-volume liposuction was 2891.3 mg for each patient. The new maximum lidocaine dosage for one patient was 77.36 mg/kg in one-touch tumescent liposuction. For 23 patients out of the 91 patients, the average lidocaine dosage was 47.89 mg/kg body weight (B.W.). No side effects were observed in any of the cases included in this study. ConclusionIn the clinical study, the new average lidocaine dosage was 47.89 mg/kg B.W.The new maximum lidocaine dosage reached 77.36 mg/kg B.W. If necessary, the amount of lidocaine dosage may be increased again.
Keywords:lidocaine  lipectomy  anesthesia  local
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