论文部分内容阅读
0.75％丁哌卡因应用于硬外327次,内122次为单硬,余为连硬。连硬中有78次,系在2％利多卡因后肌松不够的情况下加用,87次先用2％利多卡因作试探而后注入适量。剖腹产硬外一般不妨采用2％利多卡因,用0.75％丁哌卡因者不多,但慎用之亦无碍。需要肌松的腹腔内手术,硬外应选用0.75％丁哌卡因;硬外预防性用药,按ESWL单硬103次的经过,有41次作证,可以省却,不妨仍按需给予。由于丁哌卡因的镇痛效应显著,辅佐用药尤其是哌替啶或芬太尼等使用的机会少于利多卡因和丁卡因合剂,ERWL硬外中有31次未用。0.75％丁哌卡因的合理应用,除明确适应证外,要注意神经毒和心脏毒的早兆,无低氧血症和酸血症的存在,忌用超剂量和中毒量。硬外的试探性用药可迳用小剂量的0.75％丁哌卡因。单硬可用0.75％丁哌卡因,但应慎重。
0.75% buprenorphine applied to the hard 327 times, within 122 times as a single hard, I even hard. Even in the hard 78 times, Department of 2% lidocaine after the case of muscle loose enough, 87 first with 2% lidocaine as a test and then injected into the amount. Caesarean section may be generally hard to use 2% lidocaine, with not more than 0.75% buprenorphine, but caution is also used. Requires muscle relaxation intraperitoneal surgery, should be used outside hard 0.75% bupivacaine; hard preventive prophylaxis, according to ESWL single hard 103 times through, there are 41 testimonies, you can save, may still be given as needed. Due to the obvious analgesic effect of bupivacaine, adjuvant drugs, especially pethidine or fentanyl, had less chance of using than lidocaine and tetracaine, and 31 were not used in ERWL. 0.75% of the rational use of bupivacaine, in addition to a clear indications, pay attention to nerve and heart poisoning early warning, no hypoxemia and the existence of acidosis, avoid using excessive doses and poisoning. Hard-shell exploratory drugs can use a small dose of 0.75% bupivacaine. Single hard available 0.75% bupivacaine, but should be cautious.