- 期刊
EPIDURAL ANESTHESIA FOR SPINE SURGERY
硬膜外麻醉於脊椎手術之應用
摘要
Over the last 2 years, the authors have had experience with epidural anesthesia for a variety of spine operations in 20 patients. It is proved to be safe, reliable, and effective. Perioperative complications were minimal and could be easily treated. No patient had a new neurologic deficit as a result of the epidural technique. Thus, epidural anesthesia should not be excluded from the anesthesiologist's consideration simply because of the presence of spine disease or neurologic deficit.
並列摘要
一般脊椎手術均在全身麻醉下進行。以前雖有些報告指出硬膜外麻醉亦可使用於此種手術，仍有頗多的爭議與歧見。我們在過去二年間爲二十個接受脊椎手術患者施行硬膜外麻醉。選擇T12-L1脊柱問穿刺硬膜外腔並以頭向放置導管以便進行持續麻醉，手術時肌肉鬆弛程度良好。雖然部分病例需以麻黃素（Ephedrine）治療低血壓或以Diazepam解除焦慮，卻未遭遇其他併發症。術後患者症狀均有改善，並無因硬膜外麻醉造成之神經障礙。依照我們的經驗，脊椎手術可以使用硬膜外麻醉，但應當謹慎操作注意患者之呼吸道暢通，呼吸情況及其他生命徵象，預防可能之併發症，如此方爲一安全有效的方法。
並列關鍵字
無資料延伸閱讀
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