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颈丛

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Objective: To explore the clinical application of neck dissection preserving cervical plexus nerve in thyroid cancer.

目的:探讨保留颈丛神经的颈淋巴结清扫术在甲状腺癌手术中的临床应用。

The????ear incision mastoidectomy were under cervical plexus block during surgery.

目的:介绍颈丛神经阻滞在耳后切口乳突根治术的临床应用。

Objective To observe the effect of a needle cervical plexus block in thyroid surgery.

目的 观察一针法颈丛阻滞在甲状腺手术中的临床效果。

To study the effect of heart rate and blood pressure by different means of checking the throat thicket nerves.

目的 研究不同颈丛阻滞方法对心率、血压的影响。

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。

Tetracaine was appliedly one-point method to 102cases of thyroidectomy.

15%丁卡因混合液作颈丛一点法阻滞。

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。

Hemadynamics changing during the induction and maintenance phase, doses of propofol and atracurium, spontaneous breath recovery time, awake time, time of endotracheal tube extubation and side-effect were investigated and compared. Results There were no significant differences in doses of propofol and atracurium between two groups.

选择ASA 分级Ⅰ-Ⅱ级择期在颈丛复合全身麻醉下行甲状腺次全切除术病人40例,随机分为瑞芬太尼组及芬太尼组,R组采用瑞芬太尼和丙泊酚诱导和维持麻醉,F组采用芬太尼和丙泊酚诱导和维持麻醉,观察并比较两组病人麻醉诱导及维持期血流动力学的变化、术中丙泊酚和阿曲库铵的用量、术毕停药后病人自主呼吸恢复时间、清醒时间、拔管时间以及苏醒期不良反应等。

Methods Forty ASAⅠ-Ⅱpatients scheduled for elective thyroidectomy under cervical plexus block combined with general anesthesia were enrolled and randomly divided into two groups: group remifentanil and group fentanyl. Group R were induced and maintained with remifentanil and propofol, while group F with fentanyl and propofol. Hemadynamics changing during the induction and maintenance phase, doses of propofol and atracurium, spontaneous breath recovery time, awake time, time of endotracheal tube extubation and side-effect were investigated and compared. Results There were no significant differences in doses of propofol and atracurium between two groups.

选择ASA 分级Ⅰ-Ⅱ级择期在颈丛复合全身麻醉下行甲状腺次全切除术病人40例,随机分为瑞芬太尼组及芬太尼组,R组采用瑞芬太尼和丙泊酚诱导和维持麻醉,F组采用芬太尼和丙泊酚诱导和维持麻醉,观察并比较两组病人麻醉诱导及维持期血流动力学的变化、术中丙泊酚和阿曲库铵的用量、术毕停药后病人自主呼吸恢复时间、清醒时间、拔管时间以及苏醒期不良反应等。

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。

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