抗凝并处于全麻状态患者行超声引导锁骨下入路臂丛神经阻滞的个案报道  

作　　者：Paul E. Bigeleisen 王倩(译) 王天龙(校) 

机构地区：[1]Department of Anesthesiology, University of Rochester School of Medicine, Strong Memorial Hospital, Rochester, New York [2]不详

出　　处：《麻醉与镇痛》2008年第3期58-60,共3页Anesthesia & Analgesia

摘　　要：本文报道了1例使用肝素5000U抗凝的患者在超声5i导下实施连续锁骨下入路臂丛神经阻滞的情况。在给予肝素2小时后实施阻滞，患者的活化凝血时间（activated clottingtime，ACT）为203秒。每隔1小时使用激光多普勒超声对患者的血管进行监测，每12小时对患者进行神经系统检查。The author describes the use of ultrasound to facilitate a continuous infraclavicular brachial plexus block in a patient who had been anticoagulated with 5000 U of heparin. The procedure was done 2 h after the patient was anticoagulated, and his activated dotting time was 203 s. The patient had vascular checks with a laser Doppler monitor every hour and neurological checks every 12 h.

关 键 词：臂丛神经阻滞 锁骨下入路 超声引导 个案报道 全麻状态 抗凝 活化凝血时间 神经系统检查 

分 类 号：R614.4[医药卫生—麻醉学] R681.7[医药卫生—外科学]