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作者试图经脑池连续输注布比卡因治疗头、颈及肩部顽固性疼痛,特选择13例头、面、颈及肩部疼痛患者,男8例,女5例;恶性肿瘤9例,良性4例;平均73岁(32～84岁)。其中12例用其它疗法无效,8例不能耐受吗啡和(或)对阿片类药有副作用。除濒死及明显精神病患者外。11例用高位(C_7～T_5)置管法;其中10例于头高30°侧卧位穿刺,1例呼吸功能不全者于坐位穿刺。在荧光屏下标出C_7～T_5棘突,C_1用铅点标出。用Touhy针穿刺硬膜,将18号尼龙导管置入蛛网膜下腔至C_1椎体。该导管头端圆形,封闭带侧孔;管腔置
The authors attempted to transurethral continuous infusion of bupivacaine through the cistern for intractable pain in the head, neck and shoulders. Thirteen patients with head, face, neck and shoulder pain were selected, including 8 males and 5 females, and 9 malignant tumors , Benign in 4 cases; average 73 years old (32-84 years old). Of these, 12 were ineffective with other therapies, 8 were intolerant of morphine and / or had side effects on opiates. Except dying and obviously mentally ill patients. Eleven patients were treated with high-grade (C_7-T_5) catheterization. Ten of them were punctured in the supine position at 30 ° head-height and one of them was punctured in the sitting position. Under the screen marked C_7 ~ T_5 spinous process, C_1 lead marked. With Touhy needle puncture dura mater, the No. 18 nylon catheter into the subarachnoid space to C_1 vertebral body. The catheter tip is round, closed with side holes;