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颈丛神经
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  cervical plexus
     Methods 40 patients(ASA Ⅰ~Ⅱ) performed an excision of thyrophymca undergoing bilateral cervical plexus blocks were randomly divided into group A(n=20) with ropivacain 0.375% 20 ml and group B(n=20) with bupivacaine 0.375% 20 ml.
     方法择期甲状腺肿块手术40例,ASAⅠ~Ⅱ级,随机分成罗哌组(A组)和布比组(B组),每组各20例,分别用0.375%罗哌卡因和0.375%布比卡因各20 m l行双侧颈丛神经阻滞。
短句来源
     Results SBP and HR increased significantly at 5 min after completion of cervical plexus block, reached to peak level at 15 min, and lasted until 30 min in group A, which was not seen in group B. T 3,T 4,FT 3,FT 4 were changed slightly in both groups .
     结果 A组 32例患者颈丛神经阻滞约 5min ,SBP、HR开始增加 ,15~ 2 0min达到高峰 ,30min后逐渐下降 ; 与麻醉前比 ,T4、FT3 、FT4等均增高 ,而T3 轻度下降 (P >0 0 5 ) ,但均在正常值范围内。
短句来源
     Results Most of t he cervical plexus nerve branches was from the midpoint of anterior margin of st ernocleidomastoid muscle. The 1cm deep anesthesia point and each structure were 13 mm to 31 mm.
     结果颈丛神经分支多从胸锁乳突肌后缘中点以下穿出,穿刺点1cm深处与各结构的距离在13~31mm之间。
短句来源
     Methods 50 patients receiving thyoidectomy under cervical plexus block were randomized to receive intravenously either lornoxicam 16 mg (group A) or normal saline 4 ml (group B) 30 minutes before cervical plexus block.
     方法:选取择期行甲状腺次全切除的患者50例,麻醉方法均为颈丛神经阻滞,随机分成氯诺昔康组(A组)和对照组(B组),分别于麻醉前30min静脉注射氯诺昔康16mg(A组)或生理盐水4ml(B组)。 通过下列指标评价临床效果:VAS评分;
短句来源
     Clinical observation on the depression of 81 cases with cervical vertebra disease under acupuncture anesthesia combined with superficial cervical plexus block
     针麻配合浅颈丛神经阻滞行颈椎病减压术81例临床观察
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  cervical plexus nerve
     Results Most of t he cervical plexus nerve branches was from the midpoint of anterior margin of st ernocleidomastoid muscle. The 1cm deep anesthesia point and each structure were 13 mm to 31 mm.
     结果颈丛神经分支多从胸锁乳突肌后缘中点以下穿出,穿刺点1cm深处与各结构的距离在13~31mm之间。
短句来源
     bjective and Methods:Thyroid adenoma resections were performed under bilateral cervical plexus nerve block in 30 cases. rSO2,SpO2,BP,HR and ECG were monitored prior to cervical plexus block till the end of operation.
     目的与方法:随机选择30例ASAⅠ级的甲状腺腺瘤病人,在双侧颈丛神经阻滞下行甲状腺腺瘤摘除术,术中测定rSO2、SpO2、BP、HR和ECG。
短句来源
     Conclusion Nicardipine can safely and effectively control the presence of hypertension responses during thyroidectomy under cervical plexus nerve block.
     结论尼卡地平可安全、有效地用于治疗颈丛神经阻滞下甲状腺手术期间的高血压反应。
短句来源
     Objective To observe the treatment effect of nicardipine for the presence of hypertension responses during thyroidectomy under cervical plexus nerve block.
     目的观察尼卡地平治疗颈丛麻醉下甲状腺手术期间高血压反应的效果。 方法选择20例择期于颈丛神经阻滞下行甲状腺手术的患者,且满足以下条件:术前无高血压病史;
短句来源
     Comparison of ropivacaine with bupivacaine used for cervical plexus nerve blockade
     罗吡卡因和布吡卡因用于颈丛神经阻滞的效果观察
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  “颈丛神经”译为未确定词的双语例句
     20—30 minutes after induction, the nerves of the bhe bilateral superficial ceivical plexus was blocked with 5—10 ml of 0.5%1 idocaine.
     诱导20~30分钟后,双侧浅颈丛神经用0.5%利多卡因阻滞,每侧0.5~10ml。
短句来源
     Determination of EC_(50) of Ropivacaine by up-and-down Sequential Allocation
     序贯试验法测定罗比卡因颈丛神经阻滞的EC_(50)
短句来源
     When separated the cervical white line,the observing groups patients were treated by intravenous ketamine 0.5mg/kg,control group patients with intravenous Mist.
     颈丛神经阻滞效果确切 ,于分离颈白线时 ,观察组静注氯胺酮 0 .5mg/kg ,对照组静注哌氟合剂 2ml。
短句来源
     Methods 90 patients were undertaken for cervical nerve block and injected ketamine 0.5 mg/kg intravenously for pain during the operation. They were divided into 3 groups.
     方法 采用颈丛神经阻滞麻醉进行颈部手术的患者 90例 ,随机均分为 3组 ,因术中牵拉不适或麻醉不完全而予以静脉注射氯胺酮 0 .5mg/kg。
短句来源
     in the second group, the blood pressure and heart rate only increased when the upper thyroid was treated; in the third group, the blood pressure and heart rate did not change at all and the patients were quite and conscious. The result of the last one is better than that of the former anesthesia methods.
     结果:颈丛神经阻滞组病人在麻醉后及处理甲状腺上极时血压、心率皆增加,颈部硬膜外麻醉组仅在处理甲状腺上极时血压、心率增加,颈部硬膜外麻醉加喉上神经阻滞组病人血压、心率在3个时点变化不明显,病人安静,神清合作,麻醉效果较另两组满意
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  cervical plexus
Acute respiratory distress after cervical plexus block caused by acute brainstem anaesthesia
      
A 50-year-old man was scheduled for left carotid endarterectomy under deep and superficial cervical plexus blockade.
      
At the end of the third injection into the deep cervical plexus, he suffered from respiratory distress and hypotension.
      
The relationship between shoulder pain and damage to the cervical plexus following neck dissection
      
The aim of our study was to evaluate the relationship between shoulder pain and damage to the cervical plexus after neck dissection.
      
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The depression of 81 cases with cervical vertebral disease(right approach) was achieved under acupuncture anesthesia combined with superficial cervicol alplexus block. The two acupuncture points needled were Hoku and Neikuan (bilateral).A transistor producing continuous wave was used and thefrepuency was 100--200/min.The strength of stimulation would be tolerable by the par tients. 20—30 minutes after induction, the nerves of the bhe bilateral superficial ceivical plexus was blocked with 5—10 ml of 0.5%1 idocaine....

The depression of 81 cases with cervical vertebral disease(right approach) was achieved under acupuncture anesthesia combined with superficial cervicol alplexus block. The two acupuncture points needled were Hoku and Neikuan (bilateral).A transistor producing continuous wave was used and thefrepuency was 100--200/min.The strength of stimulation would be tolerable by the par tients. 20—30 minutes after induction, the nerves of the bhe bilateral superficial ceivical plexus was blocked with 5—10 ml of 0.5%1 idocaine. Muscularinjection of 0.1g of sod.luminal for premeditation was performed. 50mg of dolantine was injucted intramuscularly just before incision. The facial membrane of anterior cervices was sprayed with 0.5ml of 1--2% lidocaine at once. The results of anethesia were satisfactory.

针麻复合浅颈丛神经阻滞下,行颈椎病(右前入路)减压术81例。选穴:合谷、内关(双侧);连续波;频率:100~200次/分;刺激强度以病人能耐受为宜;诱导20~30分钟后,双侧浅颈丛神经用0.5%利多卡因阻滞,每侧0.5~10ml。术前鲁米那0.1g肌注;切皮前杜冷丁50mg肌注。切除病骨前用1~2%利多卡因0.5ml喷洒颈前筋膜。麻醉收到良好效果。

Cervcal plexus block anesthesia with the improving method of one injcting was studied. The experiment of 30 cases (60side)corpse model anatomy and clilical applcation observation of 109 cases showed that this method was easierly operated and it's sngns were characteristic, The anasthesia effectivens was better than others sideeffect was less and no serious complication occured, because the area infiltrated by anasthesia drugs is just the area where cervical plexus through prevertebral fascia and sympathtic trunk...

Cervcal plexus block anesthesia with the improving method of one injcting was studied. The experiment of 30 cases (60side)corpse model anatomy and clilical applcation observation of 109 cases showed that this method was easierly operated and it's sngns were characteristic, The anasthesia effectivens was better than others sideeffect was less and no serious complication occured, because the area infiltrated by anasthesia drugs is just the area where cervical plexus through prevertebral fascia and sympathtic trunk and intervertebral foramen are far from. High blood pressure and rapid pulse might increas and hoarse voice appear on some cases. The reason is that anesthesia drugs pases though the neck artery sheath and reaches vagus and blocks it.

作者对颈丛神经阻滞一针法进行了改良性探索。通过30具(60侧)尸体摸拟解剖实验研究和100例的临床应用观察,发现本方法操作容易、指征明确;麻药浸润的范围正是颈丛神经穿过椎前筋膜后较集中处,与交感干、椎间孔的距离较远。因此,颈丛神经被阻滞的效果良好而副作用少,无严重并发症。部份病例出现的血压升高脉搏加快和声音嘶哑乃是局麻药渗过颈动脉鞘阻滞迷走神经所致。

Severe postoperative neurological deficits follow- ing carotid endaterectomy is a serious and poorly un- derstand clinical problem associated with an increased mortality. Consecutive 235 patients (249 sides) sue cessfully underwent carotid endarterectomy from April 1983 through April 1988 with average age of 56 years. Surgical candidates who were atherosclerotic stenosis with more than 50% of carotic stenosis had symptoms at ispilateral brain. The surgical procedures were the same for all patients: before occlusion...

Severe postoperative neurological deficits follow- ing carotid endaterectomy is a serious and poorly un- derstand clinical problem associated with an increased mortality. Consecutive 235 patients (249 sides) sue cessfully underwent carotid endarterectomy from April 1983 through April 1988 with average age of 56 years. Surgical candidates who were atherosclerotic stenosis with more than 50% of carotic stenosis had symptoms at ispilateral brain. The surgical procedures were the same for all patients: before occlusion of carotid blood flow it must block carotid arterv for 1-2 minutes to observe patient's response, no use of internal bypass shunt, removal of microscopic resin duals and closure of arteriotomy with microsurgical techique, prevent air emboli: patients were monitoring in the ICU postoperatively. Group A consisted of 35 patients (37 sides) used general anesthesia, transient and permenant neurological dysfunction occurred in one respectively (5.4%). Group B consisted of 200 patients (212 sides) used local anesthesia, permenant neurological dysfunction occurred in only one (0.47%) and two patients had thrombosis of repair. Neurologi- cal dysfunction was lower in patients used by local anesthesia. Operative mortality was 0.4% Our data show that carotid endarterectomy with local anesthe- sia, no shunt and consuminate technical shill would obtain satifactory results.

颈动脉内膜剥离术治疗陈旧性缺血性脑中风效果显著,可防止因动脉硬化所致的缺血性脑中风。本文旨在如何防止手术严重并发症——术后脑中风。天津二医附属第一中心医院血管外科总结5年来行249侧颈动脉内膜剥离术后效果及如何防止术后发生脑中风的关键环节。本组术后仅3侧发生脑中风(1.2%),其中2侧因麻醉技术失误,1侧为糖尿病患者,其脑血流量处于生理需要临界点,在全麻下无法观察脑功能变化。术后因血肿窒息死亡1例。手术死亡率为0.4%。获得显著效果三大因素是:颈丛神经阻滞,无分流,精湛的手术操作。

 
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