区域阻滞神经解剖精要.ppt

Anatomical Basic of Regional Nerve Block 张励才zhang licai 徐州医学院麻醉学院 概念Concept 在神经（干、丛、节）周围注射局麻药，阻其冲动，使所支配的区域产生麻醉与镇痛，称区域神经阻滞regional nerve block 椎管内阻滞 准：熟悉解剖 I.周围神经的组成成分 II.脊神经的分支与经行特点 Characteristic on the Branches and Pass through of Spinal nerves Spinal nerves : 31 pairs C 8 T 12 L 5 S 5 Co 1x Anterior/ventral root-motor 脊神经前支的分布特点：成丛，再分支 颈丛 THE CERVICAL PLEXUS C1-4 臂丛 THE BRACHIAL PLEXUS C5-8+T1 胸神经前支THE ANTERIOR PRIMARY RAMI OF THE THORACIC NERVES T1-12 腰丛 THE LUMBAR PLEXUS T12+L1-3+L4 骶尾丛 THE SACRAL