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我们1981～1984年对血栓闭塞性脉管炎(TAO)的晚期疼痛病人采用硬膜外腔给局麻药和吗啡镇痛45例次,报告如下。资料和方法一、选择和分组本组病人属三期一级26例,三期二级14例。40例病人用药按入院治疗先后随机分为三组:利多卡因组10例,丁卡因组10例,吗啡组25例(其中5例为利多卡因组无效3例,丁卡因组无效2例)。二、方法和观察行埋脐治疗一周后,第一次清创时行L4～5穿刺硬膜外置管给利多卡因或丁卡因阻滞,清创后留置导管。术后病人有明显疼痛感觉时做硬膜外注药一次。局麻药为含钾、钠离子的1.6%利多卡因液8～
We used epidural space for local anesthetic and morphine analgesia in 45 patients with late pain from thromboangiitis obliterans (TAO) from 1981 to 1984, reported below. Data and Methods 1. Selection and grouping The patients in this group were 26 cases in the third stage and 14 cases in the third stage. Forty patients were randomly divided into three groups according to their admissions: 10 in the lidocaine group, 10 in the tetracaine group, and 25 in the morphine group (5 of them were ineffective in the lidocaine group, and the tetracaine group was ineffective. 2 cases). Second, methods and observation line Umbilicus treatment after a week, the first debridement line L4 ~ 5 puncture epidural catheter to lidocaine or tetracaine block, debridement catheter. Postoperative epidural injections were performed once the patient had a noticeable pain sensation. Local anesthetic is a 1.6% lidocaine solution containing potassium and sodium ions 8~