椎旁神经阻滞.pptVIP

J. E. Chelly,et al. British Journal of Anaesthesia,2012, 105 (S1): i86–i96. 穿刺针和导管尖端位置与药物扩散 C. Luyet , et al. British Journal of Anaesthesia 106 (2): 246–54 (2011) Daniela Marhofer,et al. Anesthesiology,2013;118(5):1106-1112. PVB药物扩散形式 儿童PVB SY Hoo, et al. The journal of International Medical Research. 2012,40:2370-2380. 乳腺手术PVB 一般阻滞T1-T5可以满足各种乳腺手术麻醉 单纯乳房切除术T2-T5 乳腺部分切除术T2-T4 乳腺扩大根治术T1-T5（腋窝） 可以显著减少乳腺癌术后慢性疼痛的形成（8% vs 25∽60%) 可能减少乳腺癌手术后肿瘤复发（Too early to say?) Michelle Chiu,et al. Ann Surg Oncol.2014; 21:795–801. Faraj W.et al. Anesthesiology, 2014;120:703-713. 麻醉对肿瘤手术病人的远期影响 肿瘤病人手术麻醉要点 James