神经阻滞口诀（Nerve block formula）.doc

神经阻滞口诀（Nerve block formula） Cervical plexus block Garden I. anatomy The branches of cervical plexus have depth and wide distribution, Consisting of neck 1 to neck four, the radiation distribution is characteristic, The neck is horizontal, the ear is large and the pillow is small, and the clavicle is like a shawl. The deep cervical plexus is more complex and is associated with the cranial nerve, Glossopharyngeal vagus accessory nerve, hypoglossal and cervical sympathetic, The formation of a complex anastomosis network from the neck is like a series of rings, Each ring is divided into deep and shallow branches, so it is also divided into neck depth. Two, block Three needling methods: It is not difficult to puncture, but the breast muscles are straight, Mark the mark at the midpoint of the line. The mark is divided into two sections, The lower end is the obstruction, and then marked 1, 2, 3. Three points perpendicular to the needle, the nerve is in the transverse border, 2-3 cm away from the skin, the needle touched the bone, feel, Injection of 3 ml respectively, there is a sense of difference is more perfect, This is called three stitches, which is very convenient at a glance Needle method The stitch is simpler and the key is to make the mark, C2 considerable mandibular angle, hyoid level approximately C3, The upper border of cartilage is C4, and the transverse process of C6 is the most obvious, Once injection is less convenient, and the puncture is fixed at C4-3, Because it can only be unilateral, the clinical application is limited, The superficial cervical plexus should be punctured, and the breast, milk, and muscle will be fixed later, Gently knead the muscle, the nerve is at the back of the muscle, Infusion of 10ml, according to the situation to increase or decrease, Both sides can be blocked, which is the difference between deep clusters, Complication A, Total spinal anesthesia is the most dangerous and cervical plexus block should be avoided, Most of the patien