超声引导股神经阻滞联合股外侧皮神经阻滞在植皮手术中的有效应用:3例报告。

Chieko Hiraoka, Naoki Miyazaki, Marie Hara, Tomoko Yuruki, Shuji Komatsu, Chiyo Furusho, Kenichiro Taki
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引用次数: 0

摘要

植皮部位术后疼痛比较严重。我们报告了3例超声引导下股神经阻滞联合股骨外侧-口腔皮神经阻滞治疗真皮移植的疗效。病例1:32岁男性,在全麻、肱神经阻滞、股神经阻滞、股外侧皮神经阻滞下行上臂外侧厚皮皮肤移植术。病例2:39岁男性,在全麻、股神经阻滞、股外侧皮神经阻滞下行大腿外侧剥皮植皮术。病例3:94岁男性患者在脊髓麻醉、股神经阻滞、股外侧皮神经阻滞、坐骨神经阻滞下行大腿外侧肩峰裂皮植皮术。所有病例术后均无疼痛,住院期间给予口服镇痛药,术后疼痛得到很好的控制。
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[Effective Use of Combination of Ultrasound-guided Femoral Nerve Block and Lateral Femoral Cutaneous Nerve Block for Harvesting Skin Grafts: Three Case Reports].

The pain of skin graft site after surgery is compara- tively severe. We present three cases of combined of ultrasound-guided femoral nerve block and lateral fem- oral cutaneous nerve block that was effective for har- vesting skin grafts. Case 1 : a 32-year-old man had a split-thickness skin grafting of lateral upper arm harvested from outside of the thigh under general anesthesia, brachial nerve block, femoral nerve block and lateral femoral cutane- ous nerve block. Case 2 : a 39-year-old man had split-thickness skin grafting of lower thigh harvested from outside of the thigh under general anesthesia, femoral nerve block and lateral femoral cutaneous nerve block. Case 3 : a 94-year-old man had split-thickness skin grafting of acrotarsium harvested from outside of the thigh under spinal anesthesia, femoral nerve block, lat- eral femoral cutaneous nerve block and sciatic nerve block. In all cases, there was no pain just after surgery, and postoperative pain was controlled well through the hospitalization with administration of oral analgesic agents.

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