728例利多卡因表面麻醉在纤维喉镜诊疗中的应用  

Application of superficial anesthesia with lidocaine in 728 cases of diagnosis and treatment with laryngofiberscope

作　　者：宋杰[1] 陈青[1] 刘莉[1] 

机构地区：[1]大连市友谊医院呼吸内科,辽宁大连116001

出　　处：《大连医科大学学报》2006年第4期323-324,共2页Journal of Dalian Medical University

摘　　要：[目的]用利多卡因替代地卡因进行表面麻醉,以避免临床使用过程中发生地卡因中毒反应,提高医疗安全。[方法]用2%利多卡因喷雾或镜下直接注入进行表面麻醉。[结果]临床应用728例纤维喉镜诊疗,其中镜下手术为108例,麻醉有效率为100%,满意率为99.7%。[结论]利多卡因较地卡因具有临床使用量安全,副作用小,对组织刺激性小,毒性低,弥散广等不同点,同时兼有组织穿透力强、麻醉效果好等共性,可作为耳鼻喉科部分腔镜诊疗的首选表面麻醉药。[ Objective] In order to avoid toxic reaction of dicaine in the course of clinic application and occurring medical negligence, we take advantage of lidocaine in superficial anesthesia instead of dicaine. [ Methods] To spray or drop directly on the surface of mucous with 2 % lidocaine. [ Results] Among 728 cases of diagnosis and treatment with laryngefiberscope, involving 198 cases of surgery, effective rate is 100%, satisfactory rate is 99.7%. [ Conclusion] Lidoceeine not only has the advantage of security of absorbed dose,less side -effect,less stimulability to the tissue,lower toxicity wider dispersion,but also the commonness of strong penetrating power,perfect anesthesia effect. It is the preferred anesthesia remedy in otolaryngelogical surgery with laryngoscope.

关 键 词：地卡因 利多卡因 表面麻醉 毒性反应 

分 类 号：R614[医药卫生—麻醉学] R767[医药卫生—外科学]