[1]田君,刘明华,粟永萍,等.颈交感神经阻滞在严重创伤患者早期应用中的初步探讨[J].第三军医大学学报,2010,32(08):830-832.
 Tian Jun,Liu Minghua,Su Yongping,et al.Early application of cervical sympathetic ganglia block in severe trauma patients: analysis of 30 cases[J].J Third Mil Med Univ,2010,32(08):830-832.
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颈交感神经阻滞在严重创伤患者早期应用中的初步探讨(/HTML )
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《第三军医大学学报》[ISSN:1000-5404/CN:51-1095/R]

卷:
32卷
期数:
2010年第08期
页码:
830-832
栏目:
论著
出版日期:
2010-04-30

文章信息/Info

Title:
Early application of cervical sympathetic ganglia block in severe trauma patients: analysis of 30 cases
作者:
田君刘明华粟永萍向强王涛
第三军医大学:军事预防医学院防原医学教研室,全军复合伤研究所,创伤、烧伤与复合伤国家重点实验室,西南医院急救部
Author(s):
Tian Jun Liu Minghua Su Yongping Xiang Qiang Wang Tao
State Key Laboratory of Trauma, Burns and Combined Injury, Department of Radiation Medicine, College of Military Preventive Medicine,Department of Emergency, Southwest Hospital,  Third Military Medical University, Chongqing, 400038, China
关键词:
创伤盐酸利多卡因颈交感神经阻滞并发症呼吸循环
Keywords:
traumalidocaine hydrochloridecervical sympathetic ganglia blockcomplicationsrespirationcirculation
分类号:
R641;R605.97;R614.4
文献标志码:
A
摘要:
目的 观察对创伤患者实施颈交感神经阻滞前后呼吸循环的变化、并发症。 方法 将西南医院创伤病房于2009年1-10月收治的严重创伤患者30例(男女不限,年龄20~50岁),随机分为2组:治疗组(n=18)与对照组(n=12)。治疗组在严密监护下用0.75%盐酸利多卡因行右侧颈交感神经阻滞,对照组以生理盐水代替利多卡因,其他常规治疗不变。记录阻滞前、阻滞后10、50 min的呼吸频率(respiratory rate,RR),脉搏氧饱合度(pulse oxygen saturation,SpO2),血气分析中的氧分压[partial pressure of oxygen, P(O2)]、二氧化碳分压[partial pressure of carbon dioxide, P(CO2)]、 pH值3个参数,收缩压(systolic blood pressure,SBP),心率(heart rate,HR),并观察并发症的发生情况。 结果 治疗组HR在阻滞前为(115.9±10.5)/min,阻滞后10、50 min时为(101.6±3.6)、(104.0±4.6)/min,阻滞前后相比有统计学差异(P<0.01);血气分析各指标、呼吸频率和收缩压无统计学差异(P>0.05)。无严重并发症出现。 结论 右侧颈交感神经阻滞对创伤患者早期循环影响显著,可使过快的心率减慢,而对呼吸频率、血气分析结果无影响。
Abstract:
Objective To assess the respiratory and circulatory changes and incidence of complications in severe trauma patients after cervical sympathetic ganglia block (SB).  Methods Thirty trauma patients (age 20 to 50)we treated in our Trauma Center from January 2009 to October 2009 were allocated into 2 groups with no difference in sex and age: the therapy group (n=18) and the control group (n=12). Under close monitoring, the patients of therapy group was treated with 0.75% lidocaine hydrochloride for right cervical sympathetic ganglia block (SB), while the control group with normal saline. The routine therapy was same. The pulse oxygen saturation (SpO2), partial pressure of oxygen [P(O2)], partial pressure of carbon dioxide [P(CO2)],  pH value, systolic blood pressure (SBP), heart rate (HR) and respiratory rate (RR) at 10 and 50 min after block and the incidence of common complications were recorded.  Results In therapy group, the pre-block HR was (115.9±10.5) beats per minute (bpm), which was significant different with that in 10 min post-block HR (101.6±3.6 )bpm, P<0.01], and with that of 50 min post-block HR [(104.0±4.6)bpm, P<0.01]. There was no significant changes in SpO2, P(O2), P(CO2), pH value, RR and SBP were observed in the 2 groups pre- and post-block (P>0.05). The occurrence rate of complications was 20% in therapy group and no severe complication happened.  Conclusion Right cervical sympathetic ganglia block has an obvious impact on the trauma patients in the early stage by slowing down the rapid heartbeat, and no effect on the respiratory rate and blood-gas analysis, thus it is a safe administration.

参考文献/References:

田君,刘明华,粟永萍,等. 颈交感神经阻滞在严重创伤患者早期应用中的初步探讨[J].第三军医大学学报,2010,32(8):830-832.

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更新日期/Last Update: 2010-04-28