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鼻中隔粘膜下切除术是耳鼻咽喉科常用的技术操作。笔者结合多年实践,就手术中若干技术操作提出以下改进意见,供参考。一、麻醉鼻中隔粘膜下切除时,粘膜表面麻醉加切口浸润,神经阻滞加切口浸润是国内常用的方法。60年代初笔者改用粘骨膜下注射麻醉法,20多年实践证明有前法所不及的许多优点。该法只需用1种麻醉药,5分钟即可完成麻醉,可达到完全无痛,并且对分离有较大帮助。其方法是:鼻部消毒后,用加压或三环注射器配7号或9号针头,抽吸0.5%利多卡因或2%普鲁卡因20ml加0.1%肾上
Nasal septum submucosal resection is commonly used technique for otolaryngology. The author combines many years of practice, the operation of a number of technical operations put forward the following improvements for reference. First, the anesthesia nasal septum submucosal resection, mucosal surface anesthesia plus incision infiltration, nerve block plus incision infiltration is a commonly used method. In the early 60’s I switched to submucous injection anesthesia, more than 20 years of practice proved that there are many advantages of the former method. This method only needs 1 kind of anesthetic, 5 minutes can complete the anesthesia, achieves the complete painless, and has the bigger help to the separation. The method is: nasal disinfection, with a pressure or tricyclic syringe with 7 or 9 needles, aspirate 0.5% lidocaine or 2% procaine 20ml plus 0.1% on the kidney