论文部分内容阅读
本文探讨家庭中自控胸部硬膜外阻滞(TEA)对严重心绞痛的治疗作用。方法:以平均年龄70岁,患不稳定性心绞痛、卧床下持续心绞痛或急性心肌梗塞2天以后再发的20例病人作为研究对象。在24小时内间断注射硝酸甘油后心绞痛仍持续存在或再发时开始用TEA疗法。经T_(2～5)椎间隙置入硬膜外导管。对使用肝素或双香豆素治疗的病人,则至少停药4h至数天,在凝血功能恢复正常后再置管。选用运动神经阻滞轻,作用时间长的丁吡卡因为硬膜外腔用药,首次剂量5mg/ml,在仰卧位下注入硬膜
This article investigates the therapeutic effect of controlled chest epidural block (TEA) on severe angina in the home. METHODS: Twenty patients with a mean age of 70 years with unstable angina pectoris, persistent angina bedside or acute myocardial infarction 2 days later were selected as the study subjects. Angina pectoris persists after 24 hours of intermittent nitroglycerin administration or TEA therapy is initiated when recurrence occurs. The T_ (2 ~ 5) intervertebral space into the epidural catheter. For patients treated with heparin or dicoumarol, they are discontinued for at least 4 hours to several days and re-administered after coagulation has returned to normal. Selection of motor nerve block light, long duration of acting tetracalcium because of epidural medication, the first dose of 5mg / ml, into the supine subdural