论文部分内容阅读
目的：给临床应用提供安全有效、便捷宜行且能减少病人痛苦和危险的臂丛阻滞麻醉入路。方法：选择１８具成人尸体，用游标卡尺、量角器和穿刺针等工具。由体表定位，解剖观测阻麻入路途径。所测数据均经统计学处理，求出其均数和标准差。结果：锁骨上路臂丛阻滞麻醉最佳入路点位于锁骨下动脉弓上方（活体上为手触及锁骨下动脉搏动点处上方）０．５２±０．２０ｃｍ处，进针向锁骨中点方向，且针杆内倾３５～４０°，前倾１５～２０°，进针深度２．６７±０．４６ｃｍ。此处臂丛３束位于腋动脉第一段外后侧，最为集中。结论：此点入路，阻滞麻醉效果好、易行、安全。
OBJECTIVE: To provide a safe, effective and convenient approach to clinical application of brachial plexus block anesthesia that can reduce the patient’s pain and danger. Methods: 18 adult cadavers were selected, using vernier calipers, protractor and puncture needle and other tools. Located by the body surface, anatomical observation of resistance to anesthesia approach. The measured data are statistically processed, find the mean and standard deviation. Results: The optimal approach point of the supraclavicular brachial plexus block anesthesia was 0.52 ± 0.20 cm above the subclavian artery arch (the hand touched the beat of the subclavian artery) , And the needle bar lean 35 ~ 40 °, forward 15 ~ 20 °, needle depth 2.67 ± 0.46cm. Brachial plexus 3 here is located in the outer axillary artery outside the first paragraph, the most concentrated. Conclusion: This point of approach, blocking anesthesia effect, easy, safe.