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In this study we examined the anatomy of the infraclavicular region to assess the possibility of estimating brachial plexus depth before performing an infraclavicular block, by using readily identifiable landmarks such as the coracoid process and the clavicle.

在本研究中,通过简便的体表标志如喙突和锁骨,我们检查锁骨下区域的解剖来评估实施锁骨下阻滞前估计臂丛深度的可能性。

Dependent on the location of the subclavian vein in relation to the clavicle.

依靠锁骨与锁骨下静脉之间的相互关系。那锁骨与锁骨下静脉之间的有什么相互关系呢?

Methods 24 albino rabbits were divided into 3 groups randomly: group DHCA (n=8); group DHCA+SCP( n=8) and group DHCA+SCP +L-arg( n=8). Three groups were placed on cardiopulmonary bypassaccording to clinical method, the anonyma and bilateral subclavian arteries of animals in group DHCA+SCP and group DHCA+SCP +L-arg were isolated.

健康成年大耳白兔随机分成DHCA(n=8)组、DHCA+经右锁骨下动脉SCP组(n=8)和DHCA+经右锁骨下动脉SCP+L-arg组(n=8),常规建立体外循环,实验组分离出无名动脉、右锁骨下动脉及左侧的锁骨下动脉并行右锁骨下动脉插管,然后开始转流降温。

Methods: Dissections of the infraclavicular region were performed in seven fresh cadavers and linear measurements made to determine the extent of overlap between the vein and the clavicle in different shoulder positions.

现在对7例刚死亡的患者进行解剖锁骨下区域以深入了解在不同肩位时锁骨和锁骨下静脉的立体关系

The infraclavicular and the AXIS approach can be substitutes for the supraclavicular approach. Considering the relative high incidence of pneumothorax, the infraclavicular approach should be paid more attention.

考虑到锁骨上入路臂丛阻滞的气胸发生率较高的缺点,锁骨下入路和AXIS入路可以作为锁骨上入路的一种替代方法,其中锁骨下入路尤应受到足够的重视。

I was removed from my brigade and attached to the Berkshires,with whom I served at the fatal battle of Mai wand. There I was struck on the shoulder by a Jezail bullet,which shattered the bone and grazed the sbuclavian artery.

我被从原来的队伍里边调离到了Berkshires的小组里---我和这个家伙打了那场致为关键的Maiwand之战-----在那场战斗里我被阿富汗长滑堂枪的子弹击中,它打碎了我的骨头,并穿透锁骨下的大动脉

I was removed from my brigade and attached to The campaign brought honours and promo tion to many,but for me it had nothing but misfortune and disaster.I was removed from my brigade and attached to the Berkshires,with whom I served at the fatal battle of Mai wand. There I was struck on the shoulder by a Jezail bullet,which shattered the bone and grazed the sbuclavian artery.

我被从原来的队伍调离到了the Berkshires的队,我和他们一起打了那场决定胜负的Mai wand之战-在那场战斗里我被阿富汗长滑堂枪的子弹击中,最要命的是:它不仅打碎了我的骨头,还穿透了我锁骨下的大动脉。

To systematicallyinvestigate this landmark, we conducted a study in four phases:1 Two blindfolded examiners determined the distance betweenthe tuberosity's medial border and the clavicle's lateral endin 100 dried clavicles and then 2 performed subclavian veincannulation in 20 fresh human cadavers using the tuberosityand the suprasternal notch as landmarks. 3 Three-dimensionalreconstructions of the subclavian artery and vein and surroundingstructures were derived from computed tomography datasets of10 patients. The length of the path of a virtual subclavianvein cannulation with the deltoid tuberosity landmark was measuredbilaterally. 4 In a prospective, randomized trial, subclavianvein cannulation was performed in 60 patients with a standardapproach or with the deltoid tuberosity as landmark.

为系统地研究这个解剖标志,作者将本研究分为四个阶段:1 双盲检查100个干燥的锁骨测量其三角肌粗隆内侧缘至锁骨侧面末端的距离;2 在20具新鲜的尸体上以三角肌粗隆和胸骨上切迹为标志进行锁骨下静脉穿刺;3 利用 CT 所获取的数据资料对10个病人的锁骨下动脉和静脉以及周围结构进行三维重建,测量两侧以三角肌粗隆为标志的虚拟锁骨下静脉置管路径的长度;4 选择60例病人以标准路径或三角肌粗隆为标志进行锁骨下静脉穿刺的前瞻性随机试验研究。

To systematicallyinvestigate this landmark, we conducted a study in four phases:1 Two blindfolded examiners determined the distance betweenthe tuberosity's medial border and the clavicle's lateral endin 100 dried clavicles and then 2 performed subclavian veincannulation in 20 fresh human cadavers using the tuberosityand the suprasternal notch as landmarks. 3 Three-dimensionalreconstructions of the subclavian artery and vein and surroundingstructures were derived from computed tomography datasets of10 patients. The length of the path of a virtual subclavianvein cannulation with the deltoid tuberosity landmark was measuredbilaterally. 4 In a prospective, randomized trial, subclavianvein cannulation was performed in 60 patients with a standardapproach or with the deltoid tuberosity as landmark.

为系统地研究这个解剖标志,作者将本研究分为四个阶段:1 双盲检查100个乾燥的锁骨测量其三角肌粗隆内侧缘至锁骨侧面末端的距离;2 在20具新鲜的尸体上以三角肌粗隆和胸骨上切迹为标志进行锁骨下静脉穿刺;3 利用 CT 所获取的资料资料对10个病人的锁骨下动脉和静脉以及周围结构进行三维重建,测量两侧以三角肌粗隆为标志的虚拟锁骨下静脉置管路径的长度;4 选择60例病人以标准路径或三角肌粗隆为标志进行锁骨下静脉穿刺的前瞻性随机试验研究。

Basing on the setup of animal model of root avulsion of the brachial plexus, we divided the experimental animal into four groups by the operative method: Group A: one end of the maternal nerve graft was connected with the upper trunk of the healthy side by end-to-side neurorrhaphy, and the other end was sutured to the distal stump of musculocutaneous nerve infraclevicularly by end-to-end neurorrhaphy. Goup B: on the healthy side, the operation was the same, the other end was sutured to the distal end of C〓 by end-to-end neurorrhaphy on the affected side. Group C: the maternal nerve graft bridged the phrenic nerve and infraclevicular musculocutaneous nerve of the affected side by end-to-end neurorrhaphy. Group D: the phrenic nerve was sutured to the distal end of C〓 supraclevicularly by end-to-end neurorrhaphy.

在构建了模拟小儿臂丛神经根性撕脱伤的动物模型基础上,将实验动物按手术方式分组如下,A组:母鼠提供的的神经移植体一端与子鼠健侧臂丛上干行端侧吻合,另一端与患侧已切断的锁骨下肌皮神经远端行端端吻合。B组:母鼠提供的的神经移植体一端与子鼠健侧臂丛上干行端侧吻合,另一端与患侧已切断的锁骨上颈〓远端行端端吻合。C组:母鼠提供的的神经移植体桥接于子鼠患侧膈神经与锁骨下肌皮神经之间。D组:子鼠患侧膈神经直接与锁骨上颈〓远端行端端吻合。

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