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In thisstudy, we sought to determine the number of injections neededto provide a reasonably complete anesthesia of the upper limbwith this approach. Seventy-five patients were randomly assignedto receive a coracoid block guided by nerve stimulator with42 mL of 1.5% mepivacaine with a single-injection (Group 1),dual-injection (Group 2), or triple-injection (Group 3) technique.

在本研究中,我们拟探讨为提供完善的上肢麻醉效果所需要的锁骨下臂丛神经阻滞的注射次数。75例病人用神经刺激器指导喙突旁臂丛神经阻滞,随机用1.5%的甲哌卡因42ml 行单次注射(组1)、分两次注射(组2)或分三次注射(组3)。

SDNF can prevent the death of motoneurons following spinal root avulsion. Nitric oxide may play a role in these injury induced motoneuron death.

SDNF对臂丛神经根性撕脱伤所致运动神经元死亡有明显的保护作用,一氧化氮在臂丛神经根性撕脱伤所致运动神经元死亡中起一定作用。

Selective brachial plexus and lumber nerve roots rhizotomy is a good and effective method to reduce spasticity of upper extrimity.

我们根据臂丛神经功能解剖特点首创设计了选择性臂丛神经根切断术和选择性腰骶神经根切断术治疗脑瘫引起的上、下肢痉挛,取得明显疗效。

According to Chair of Department of Neurology, Taipei Veterans General Hospital, Shuu-Jiun WANG, the activation of trigeminal vascular system in the brain is commonly regarded as the pathogenic mechanism for sick headache and cluster headache. Stick to this premise, the research team hypothesizes that the system activator Nociceptin and the system inhibitor Orexin A these two kinds of neuroproteins are related to the pain degree of migraine and cluster headache.

北荣神经内科主任王署君表示,脑内三叉神经血管系统活化与否,是医界公认的偏头痛与丛发性头痛致病机转,故研究团队推测,可活化该系统的致痛素,以及抑制该系统的下视丘素两种神经蛋白质,应与偏头痛与丛发性头痛的程度有关。

To study the effect on carotid sinus and vagus for the cause of hemodynamic response during cervical plexus block.

目的研究颈丛神经阻滞麻醉对颈动脉窦和迷走神经的影响,探讨颈丛神经阻滞麻醉引起心血管副反应的原因。

Nine of all the 62 patients had been found complications,including hematoma in 3 cases,lymphadenectomy in 2 cases,cervical plexus injury in 2 cases,phrenic nerve injury in 1 case,brachial plexus injury in 1 case and pneumothorax in 1 case.

其中术后伤口血肿形成3例,淋巴漏2例,颈丛神经皮支损伤2例,膈神经损伤1例,臂丛神经损伤1例,气胸1例,所有患者出现并发症后均得到及时的处理。

Results: Obvious behavoiral abnomals appeared in the SD rat in experimental group,and there was alse obviously changes on the cornu anterius medullae spinalis nerve cells on which number decreaed dramaticaly and ultrastructure changed on TEM compared with controlled normal group.

以往臂丛损伤的研究多采用臂丛根性撕脱伤的成年动物模型或模拟临床的大鼠臂丛神经移位模型[2],至今未见用幼年SD大鼠代替新生鼠模拟临床上新生儿臂丛损伤的动物模型。

Methods 62 adult patients,ASAⅠ~Ⅱ,who underwent upper limb surgery and agreed to receive supraclavicular nerve block were included.

方法对62例锁骨上臂丛神经阻滞下行上肢手术成年患者,在超声引导锁骨上臂丛神经阻滞中正确辨认神经及穿刺针的位置。

In rat esophagus, the positive varicosities and fibres could be observed in the circular muscle layer and the muscularis mucosae layer at 21st day before birth. With the development of rat digestive tract, neurokinin A-immunoreactivity positive nerves could be observed gradually in the epithelium, submucosa, longitudinal muscle layer, myenteric plexus and submucosal plexes, while mature nerve fibres could be seen at one month after birth. 2. In rat stomach, the positive reaction of NKA initially happened in the myenteric plexus at the 14th day of embryo, and then appeared on circular muscles, longitudinal muscles, submucosal, muscularis mucosae, lamina propria and epithelium. 30 days after birth, expression of NKA is same as seen in adaulthood. 3. In rat small intestinal, the NKA-IR could first be found in the myenteric plexus of the duodenum, jejunum and ileum at 14th , 15th and 17th day before birth respectively. Then the NKA-IR occurred in the longitudinal muscle layer, circular muscle layer, intestinal villus, intestinal gland, muscularis mucosae, submucosa, submucosal plexes, mucosa plexus and deep muscular plexus.

结果 1、在食管,于胚胎21天的粘膜肌层和环肌层内观察到神经激肽A免疫阳性膨体纤维,出生后,随幼鼠的生长发育,相继在上皮,粘膜下层,纵肌层、肌间丛、粘膜下丛有NKA-IR表达,30天时已和成年鼠相似;2、在胃,首先于胚胎14天的肌间丛出现NKA-IR的表达,随发育相继在环肌、纵肌,粘膜下层、粘膜肌、固有膜及上皮内出现NKA-IR的表达,30天时具备成年鼠的分布特征;3、在小肠,分别于胚胎14、15、17天的十二指肠、空肠和回肠的肌间丛处出现NKA-IR的表达,随发育相继出现在纵肌、环肌、绒毛、小肠腺周、粘膜肌、粘膜下层、粘膜下丛、粘膜丛、深肌丛。

Results In healthy subjects, L2-L5 nerves were displayed clearly by MRN, with a round or ellipse ganglion of 3-6 mm in diameter, and smooth stick-like nerve root and trunk, 2-5 mm in diameter. The signal intensity was higher in ganglion than nerve root or trunk. 40% of nerve root sheath was surrounded by small amount of cerebrospinal fluid, Femoral nerve was displayed in all subjects, while only 83.3% of obturator nerve and 43.3% of lumbosacral trunk were manifested. Lamellar blurred hyper-signal intensity was seen around 80.9% of lumbar plexus in GBS, but none in CIDP.

结果 正常组MRN可清晰显示腰2~5神经的走行,神经节呈圆或椭圆形膨大,大小约为3~6mm,神经根及干呈条状、边缘光滑,大小约为2~5mm、神经节信号高于神经根和干,40%的神经根鞘有少量脑脊液,股神经、闭孔神经、腰骶干的显示率分别为100%、83.3%、43.3%。80.9%的GBS腰丛神经周围有片状模糊高信号,神经根和节大小和信号无明显改变,25%神经干增粗,50%的神经干信号增高,边缘模糊。

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