球後側麻醉之臨床經驗

作者對152眼作球後側麻醉法和20眼作傳統之球後麻醉併顏面神經麻醉法之病例作一比較，發現球後側麻醉法87%可於10分鐘內達到完全麻醉之效果，其可省略顏面神經麻醉；球後側麻醉組中21%有輕至中度結膜水腫，9%有眼瞼淤血，6%注射前復之眼壓上升超過15毫米汞柱；除了眼球破裂或末期青光眼病人，球後側麻醉法可適用於各種眼內及眼外手術，由於其麻藥打在眼肌錐之外，將使眼球或神經之傷害減至最少，其安全性較高且麻醉效果相似又容易學習，應可作為傳統球後麻醉法之替代。

關鍵字

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並列摘要

From March 1987 to October 1987, we performed posterior peribulbar anesthesia for 152 ophthalmic Surgeries (mostly Cataract operation) and compared with 20 operations performed with retrobulbar anesthesia and 7th nerve block. In posterior peribulbar anesthesia group, we got complete anesthesia within 10 minutes for 87% of cases. 21% of cases had mild to moderate chemosis which did not interfere with operative procedures. 9% had lid ecchymosis. 6% had intraocular pressure change more than 15 mmHg immediately after completion of posterior peribulbar anesthesia, but pressure became normal by digital massage for 1 minute. Posterior peribulbar anesthesia technique was described in detail in the text. It is easy to perform. Seventh nerve block can be omitted and there were no potential risk of damage to eyeball optic nerve or incidental injection into Subarachnoid space. It is a good alternative to retrobulbar anesthesia.

並列關鍵字

Posterior peribulbar anesthesia ； retrobulbar anesthesia ； facial nerve block ； muscle cone

國際替代計量

球後側麻醉之臨床經驗

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