| C臂机介入颈椎前径路手术神经联合阻滞 |
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| 引用本文： | 郑友芝,万大庆,沈意琴,陈亚君. C臂机介入颈椎前径路手术神经联合阻滞[J]. 临床麻醉学杂志, 2005, 21(4): 227-228 |
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| 作者姓名： | 郑友芝 万大庆 沈意琴 陈亚君 |
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| 作者单位： | 214044,无锡市,解放军第一○一医院麻醉科;214044,无锡市,解放军第一○一医院麻醉科;214044,无锡市,解放军第一○一医院麻醉科;214044,无锡市,解放军第一○一医院麻醉科 |
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| 摘 要： | 目的采用C型臂介入颈椎前径路手术时的颈部神经阻滞术，降低技术操作难度，提高麻醉效果与安全性。方法两组病人各9例，A组按颈神经阻滞常规操作；B组采用C型臂放射介入进行C4椎体和横突与要手术的颈椎体或椎间隙定位，并引导进行穿刺局部注射麻醉药。结果B组亚甲蓝染色阳性率与麻醉效果优良率均高于A组，但无显著性差异。结论C型臂介入颈部神经阻滞术，解决了颈部转动受限和颈部制动病人带来的定位与操作困难，有利于提高麻醉效果与安全。
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| 关 键 词： | C臂机 颈丛阻滞 |
| 修稿时间： | 2004-05-31 |
Cervical never combined anaesthesia in cervical vertebral anterior operation under C-arm X-ray |
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| Zheng Youzhi,Wan Daqing,Shen Yiqin,et al.. Cervical never combined anaesthesia in cervical vertebral anterior operation under C-arm X-ray[J]. The Journal of Clinical Anesthesiology, 2005, 21(4): 227-228 |
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| Authors: | Zheng Youzhi Wan Daqing Shen Yiqin et al. |
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| Affiliation: | Zheng Youzhi,Wan Daqing,Shen Yiqin,et al.The 101st Hospital of PLA,Wuxi 214044 CHINA |
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| Abstract: | Objective To perform cervical plexus block directed by C-arm X-ray aimed to decrease technical difficulty and to increase the effect and safety of anaesthesia for the patients with a fixedneck.Methods Conventional cervical block was used in group A. Regional anaesthesia drugs were injected to circumference of 4th cervical vertebra and the intervertebra operative site directed by C-arm X-ray in group B. Results The positive rate of methylthioninium staining in group B was higher than that in group A,but the difference was not significant.Conclusion To plactice cervical plexus block directed by C-arm X-ray is beneficial to increase the effect and safety of cervical nerveblock in the patients with a fixed neck. |
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| Keywords: | C-arm X-ray Cervical plexus block |
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