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shuang shang zhi xian wei wai ke shou shu bu tong zu zhi fang fa de bi jiao yan jiu
Author(s): 
Pages: 323
Year: Issue:  3
Journal: Qianwei Journal of Medicine & Pharmacy

Keyword:  双臂丛阻滞硬膜外阻滞断指(肢)再植;
Abstract: 为选择安全有效的双上肢断指(肢)再植的麻醉处理方法,笔者随机观察80例接受此类手术者实施颈段硬膜外麻醉及双侧分段臂丛阻滞麻醉效果并进行比较分析,现报告如下。1资料与方法1.1一般资料选自我院2003~2004年急症双上肢外伤手术患者80例。男52例,女28例。年龄18~56岁。ASA分级Ⅰ~Ⅱ级,无其它系统疾病。将80例患者分为两组,每组40例。两组年龄、性别等基本情况无显著性差异(P>0.05),具有可比性。1.2方法Ⅰ组:采用颈段硬膜外麻醉,穿刺点为C7~T1,阻滞平面控制在C4~T2,局麻药为0.25%罗哌卡因10~15ml;Ⅱ组:选用双侧分段臂丛阻滞,一侧采用改良法腋路阻滞麻醉,另一侧
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