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Severe brachial plexopathy after an ultrasound-guided single-injection nerve block for total shoulder arthroplasty in a patient with multiple sclerosis: what is the likely cause of this complication?

一个全肩关节造行术的多发性硬化的病人,进行了单次注射的神经阻滞后发生了严重的臂丛病变:这个并发症的最可能的原因是什么呢?

The dysfunction of supination of forearm following injury of brachial plexus or poliomyelitis always affects the function of hand.

臂丛神经损伤或小儿麻痹后遗症,因肌肉麻痹导致旋后功能障碍,影响手功能的发挥。

The results showed that NOS positive neurons were present in the hippocamp us CA1~CA3) in which NOS strong positive neurons were in CA2; NOS medium positive nucleus in the nuclei nervorum non-cranialium (red nucleus、 su bstantia nigra; NOS positive neurons in the nuclei nervorum cranialium (oculomo tor、 accessory oculomotor nucleus, facial nucleus, abducens nucleus); NOS posit ive nucleus in the pons reticular formation; NOS positive nucleus in the raphe n ucleus and in the plexus chorioideus ventriculi quartic and plexus chorioideus v entriculi tertii.

结果显示:海马(CA1~CA3区)NOS为阳性、其中CA2 为强阳性++);非脑神经核(红核、黑质为中等阳性;而脑神经核(动眼神经核、动眼神经副核、面神经核、展神经核)NOS为阳性;脑桥网状结构为阳性;缝核群为阳性;第三脑室和第四脑室脉络丛为阳性。

Results Denatured necrosis occurred on the surface of hypothalamic periosteum with no cells and there was a large amount of starchy bodies and hydrops in foci with angiectasis of choroid plexus and necrosis and calcification in tunicaintima of vesicles,and mitochondria in the nerve synapse disappeared and part of anteroposterior membranes ...

结果 慢性SZ患者下丘脑部室管膜表面变性坏死、无细胞,病灶中有大量淀粉样小体和水肿,脉络丛血管扩张,管壁内膜有坏死和钙化;神经突触内大部分突触小泡和线粒体消失,部分前后膜模糊不清。

All case of illness all are traumatic send radius far end 3 months after fracture issues dislocation of feet oar joint to treat come 1 year patient, all have wrist ministry ache, wrist ministry is faint, antebrachium whirligig suffers bounds symptom, via X line photograph examination diagnose is dislocation of joint of oar issueing rule. Below anaesthesia of sluggish of block of nerve of clump of arm of 1.2 operations method, the upper arm having side uses hemostatic tape.

所有病例均为外伤致桡骨远端骨折并下尺桡关节脱位治疗后3个月至1年患者,均有腕部疼痛,腕部无力,前臂旋转运动受限的症状,经X线照片检查确诊为下尺桡关节脱位。1.2手术方法臂丛神经阻滞麻醉下,患侧上臂应用止血带。

Results None of the 19 patients had history of exposure to asbestos. Eight cases(42.1%) had no obvious thoracodynia, 9 cases(47.4%) had pleural effusion limited to the right chest, and in 2 cases(10.5%) the brachialis plexus was involved, and in 1 case (5.3%) malignant mesothelial cells were detected in the pleural effusion. Pleural thickening or nodules were found in 13 cases on CT and in 9 cases by B ultrasonographic examination.

结果 19例患者均无明确石棉接触史;8例(42.1%)无明显胸痛;9例(47.4%)单纯右侧胸腔积液;2例(10.5%)臂丛神经受影响;1例(5.26%)胸水中查到恶性间皮细胞;9例(47.4%)B超检查发现胸膜肥厚或结节;13例68.4%)CT检查发现胸膜结节状病灶。

Objective: Observing the effect of breath and circulation and recovery of the arm operation when using the ropivacaine plexus brachialis nerves block combined with ketamine propofol intravenous anesthesia.

目的:观察罗哌卡因臂丛神经阻滞复合氯胺酮-丙泊酚静脉麻醉在小儿上肢手术中应用,对呼吸循环功能以及术后恢复情况的影响。

Plexus brachialis nerves block combined with ketamine propofol intravenous anesthesia used in the operation of children's arm can decrease the quantity of ketamine to reduce the uncomfortable response.In this way,the children's breath and circulation is more steadily during the anesthesia and operation.The parents and doctors'satisfactory are highly increased.

臂丛神经阻滞复合氯胺酮-丙泊酚静脉麻醉应用于小儿上肢手术,可减少氯胺酮用量从而减少其不良反应,使患儿在麻醉手术期间呼吸循环更平稳,家长及医护人员满意度明显提高。

The recommended needle trajectory for the vertical infraclavicularbrachial plexus block is anteroposterior, caudad to the middleof the clavicle.

推荐的垂直锁骨下臂丛神经阻滞进针轨迹是前后位,针尾朝向锁骨中点。

The reflection of decompression was observed during the carotid sinus chirapsia before cervical plexus block, while not during the carotid sinus chirapsia or stimulating vagus after cervical plexus block.

颈丛神经阻滞麻醉前按摩颈动脉窦可引起明显的减压反射,而阻滞后按摩颈动脉窦或刺激迷走神经均未引起明显的血压及心率变化。

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