骨科手术中的疼痛和止血带。

Cahiers d'anesthesiologie Pub Date : 1995-01-01
J P Estèbe, C Kerebel, C Brice, A Lenaoures
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引用次数: 0

摘要

在骨科手术中使用气动止血带提供一个无血的区域,常常因止血带疼痛而复杂化。这种疼痛的机制尚不完全清楚,但它可能是多因素的。神经受压是常见的病因特征。局部麻醉被认为是避免止血带疼痛的最佳选择。浅表(皮肤)压迫和深层成分压迫如血管和肌肉都能引起止血带疼痛。中枢神经系统也会受到干扰。止血带的释放可增加缺血再灌注损伤引起的缺血后水肿的疼痛。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
[Pain and tourniquet in orthopedic surgery].

The use of a pneumatic tourniquet to provide a bloodless field in orthopedic surgery is often complicated by tourniquet pain. The mechanism of this pain remains incompletely understood, but it is probably multifactorial. Nerve compression is a common etiologic feature. The use of local anaesthetics may be considered the best choice for avoiding tourniquet pain. Superficial (skin) compression and deep components compression like blood vessels and muscles can both induce tourniquet pain. Central nervous system can also interfere. Release of tourniquet can increase the pain by post-ischaemic oedema due to ischaemia and reperfusion injury.

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