硬膜下腔的解剖与麻醉的相关分析
发布时间:2018-04-21 12:16
本文选题:硬膜下腔 + 解剖 ; 参考:《延边大学》2007年硕士论文
【摘要】: 目的:通过对硬膜下腔解剖形态的分析,从而为临床麻醉中所遇到的异常阻滞平面提供佐证,提醒麻醉医师在工作中时刻注意硬膜下腔的存在,,及时认识到某些并发症是根源于硬膜下腔阻滞,尽可能避免出现硬膜下腔置管引起的严重危险境地。 方法: 1.通过对离体牛脊柱的解剖,明确在硬脊膜与蛛网膜之间存在一腔隙——硬膜下腔; 2.通过对活体狗的脊柱解剖,分析硬脊膜下腔解剖学意义; 3.通过对临床出现广泛阻滞的患者术后不拔管,由导管注入照影剂欧乃派克4ml进行术后照影。 结果: 1.在离体牛脊柱上硬脊膜下腔较易分离,暴露完全。照片见正文。 2.活体狗的硬脊膜下腔基本暴露完全,亦可证实硬膜下腔的存在。 3.临床患者术后X线确认导管不在硬膜外腔和蛛网膜下腔,而在另一个腔隙即硬脊膜下腔。 结论:硬脊膜下腔真实存在而并非是导管的“解剖”作用,硬脊膜下腔的解剖学特点可对临床上出现麻醉平面过广作出合理化解释。因此,该实验对认为硬脊膜下腔是一“潜在腔隙”的传统观点,提出了挑战与新的认识。
[Abstract]:Objective : To provide evidence for the abnormal block plane encountered in clinical anesthesia by analyzing the anatomical morphology of the inferior vena cava , so as to remind the anesthesiologist to pay attention to the presence of the lower cavity in the hard membrane at all times during the work . It is timely to realize that some complications are the root causes of the lower cavity block of the hard membrane , and the serious dangerous situation caused by the inferior vena cava of the hard membrane is avoided as far as possible .
Method :
1 . It is clear that there is a cavity _ epidural space between the dura mater and the subarachnoid space through the dissection of the spinal column in vitro .
2 . To analyze the anatomical significance of the inferior cavity of the dura mater by the spinal anatomy of the living dog ;
3 . After operation of the patients with extensive clinical block , 4ml was injected into 4 ml of the catheter for postoperative illumination .
Results :
1 . The lower cavity of the dura mater on the isolated bovine spinal column is easier to separate , and the exposure is complete . See the text .
2 . The lower cavity of the dura mater of the living dog was completely exposed , and the presence of the lower cavity of the hard film could be confirmed .
3 . X - ray confirmed that the catheter was not in the epidural space and subarachnoid space after operation , while in the other cavity , i . e . , the lower cavity of the dura mater .
Conclusion : The real existence of the inferior cavity of the dura mater is not the " anatomy " of the catheter , and the anatomical features of the inferior cavity of the dura mater can reasonably explain the clinical appearance of the anesthesia plane . Therefore , the experiment has put forward the challenge and the new understanding of the traditional view that the inferior cavity of the dura mater is a " potential lacunar " .
【学位授予单位】:延边大学
【学位级别】:硕士
【学位授予年份】:2007
【分类号】:R614;R322
【引证文献】
相关期刊论文 前1条
1 杨远平;孙春红;;30例硬膜下间隙神经阻滞治疗癌性疼痛的临床研究[J];中国当代医药;2011年17期
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