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患儿男性,9岁、体重18公斤,拟于左肌间沟臂丛神经阻滞麻醉下行左肱骨外髁骨折切开复位内固定术。取平卧位,头偏向对侧略后仰,于斜角肌肌间沟进针约1.2公分后上肢出现异感,遂推注1.1％利多卡因+0.2％布比卡因混合液13毫升(内加20万分之一肾上腺素)。注药后左上肢及肩、颈部均无麻醉效果,但十余分钟后左肋缘下开始出现麻痹区并很快向上下扩散,注药后15分钟测试,向上扩散至胸_2脊神经支配区,向下扩散至胸_(11)区神经支配区,内至腹中线,外至左腋中线,麻醉界限清楚,作用完善。患儿除有左眼裂缩小,左鼻腔阻滞之轻度霍钠氏征外,余无异常情况,左胸壁呼吸动度亦未见减弱。该麻醉区广直持续二小时方逐渐减退。患儿当日末手术,五天后在腋路臂
Pediatric men, 9 years old, weighing 18 kilograms, intended to be left interosseous brachial plexus anesthesia under the left lateral humeral condyle fracture reduction and internal fixation. Take the supine position, head to the contralateral slightly backwards, in the bevel muscle between the ditch into the needle about 1.2 cm after the emergence of abnormal upper limbs, then bolus injection of 1.1% lidocaine + 0.2% bupivacaine mixture 13 ml (Plus one hundred thousandth adrenaline). After injection of the left upper limbs and shoulders, neck no anesthetic effect, but more than ten minutes after the left margin began to paralysis paralysis and quickly spread up and down after injection of 15 minutes test, up to spread to chest _2 spinal nerve innervation District, spread down to the chest _ (11) District innervated area, within the midline to the midline, outside to the left axillary line, narcotic boundaries clearly, the role of sound. In addition to children with left small fissure, left nasal block mild Hodgkin’s syndrome, I no abnormalities, left chest wall respiratory motility has not diminished. The anesthesia area continued straight for two hours gradually decreased. Children with surgery at the end of the day, five days after the axillary arm