星状神经节阻滞在的.pptVIP

星状神经节阻滞在庝痛诊疗的临床应用 建始县中医院麻醉科 高敦明 Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd. Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd. 项目简介 Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd. 摘要：星状神经节由下交感神经及第一胸交感神经节融合而成,位于第七颈椎横突与第一肋骨颈部之间,常位于第七颈椎体的前外侧面,是支配头面部、颈及上肢的主要的交感神经节.星状神经节阻滞,可以解除交感兴奋,使局部血管扩张,改善血液循环,促进新陈代谢,抑制疼痛,促进神经功能恢复.星状神经节阻滞已被广泛用于临床治疗多种疾病.…… Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd. 星状神经节阻滞隶属于麻醉科二级学科疼痛诊疗业务。 其方法为向含有星状神经节的组织内注入局麻药而阻滞了支配头面部、颈部、上肢及上胸部的交感神经的方法。星状神经节是由第6、7颈部神经节构成的颈部节和第一胸神经节融合而成。有时也包括有第2胸神经节和颈中神经节。星状神经节节前纤维始自T1-10节段，其节后纤维的皮肤分布区域是C3-T12节段，而以C6-T5分布的最多。阻滞成功则出现HORNER综合征，表现为面、颈及手掌皮肤温度升高，出汗终止等体征。 Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd. 适应证 Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd. [1]支配区域疾病：1带状疱疹，复杂性区域疼痛综合征；2头痛[偏头痛、肌紧张性头痛、丛集性头痛及颞动脉炎]、脑血管痉挛、脑血栓、脑梗死、脱发。3 面部疾病：末稍性面神经麻痹面部痛[非典型面部痛、嚼肌综和征、颌关节病]；4耳鼻喉科疾病：过敏性鼻炎、急慢性鼻窦炎、耳聋、耳鸣；5 上肢疾病：雷诺病、颈肩臂综合征、外伤性颈部综合征、肩周炎、颈椎病、乳房切除后水肿、臂神经痛、多汗症、冻伤。 Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd. [2]心脏疾病：心肌梗死、心绞痛、窦性心动过速等。 Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd. [3]呼吸循环系统疾病：慢性支气管炎、哮喘、肺栓塞、肺水肿、心绞痛、神经官能症等。 Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd. [4]妇科疾病：痛经、更年期综合征、经前紧张症等。 Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd. [5] 消化、泌尿系统疾病：过敏性结肠炎、溃疡性结肠炎胃肠功能紊乱等。 Evaluation only. Created with Aspose.Slides for .NET 3.5 Cli