(精选)【麻醉学精品课件课件】局部麻醉教学课件.pptVIP

;局部麻醉的定义及优点;;局麻药分子结构和分类;局麻药的理化性质;离解常数---pKa;; 局麻药的脂溶性;局麻药的分布;局麻药的生物转化和清除;局麻药的不良反应;局麻药的毒性反应;局麻药毒性反应的表现;局麻药毒性反应的预防;局麻药毒性反应的治疗;局麻药的过敏反应;局麻药过敏反应的治疗;常用局麻药;普鲁卡因;丁卡因;利多卡因;布比卡因;罗哌卡因;局麻方法;表面麻醉;局部浸润麻醉;区域阻滞;神经阻滞;History(历史);Brchial Plexus Block (臂丛);Basic step of nerve block神经阻滞的基本步骤;神经阻滞的优点和缺点;神经阻滞定位方法;;神经刺激器定位操作步骤;Contents(本节内容);;臂丛神经的解剖;;Musculocutaneous n. (肌皮神经);;Axillary a. 腋动脉;1. Axillary n.(腋n.) 2. Musculocutaneous n.(肌皮n.) 3. Radical n.(桡n.) 4. Med. of arm cutaneous n.(臂内侧皮n.) 5. Med. of forearm cutaneous n.(前臂内侧皮n.) 6. Median n.(正中n.) 7. Ulnar n.(尺n.);Axillary n.(腋n.);;Interscalene Block肌间沟神经阻滞 (Modified G.Meier) ①Cricoid cartilage (环状软骨) ②Superior thyroid Cartilage notch (甲状软骨上切迹) ③Sternomastoid m. (胸锁乳突肌) ④Puncture site 穿刺点;操作要领;Mid scalene m. 中斜角肌;;肌间沟臂丛神经阻滞临床应用;Supraclavicular Block锁骨上臂丛阻滞;肩胛舌骨肌;操作要领;;锁骨上臂丛阻滞的临床应用;;Axillary Block: puncture site and technique;;临床应用;;頚丛神经解剖;深丛阻滞的临床应用;;斜角肌间隙颈丛阻滞;颈浅丛阻滞; ;;;解 剖;临床应用;;;;;;１.Deep cervical plexus and interscalence brachial plexus block (颈深丛和肌间沟臂丛);２.Supraclavicular brachial plexus block (锁骨上臂丛);４.Systemic toxicity (局麻药全身毒性反应);CNS toxicity (中枢神经系统毒性反应);谢谢