在区域麻醉下使用头皮神经块切除前额基细胞癌:一个案例报告
Ergun Mendes1, Doruk Yaylak1, Merve Umran Yilmaz1
1From the Departments of Anesthesia & Reanimation.
A&A practice
|August 19, 2025
概括
用头皮神经阻塞和镇静进行区域麻醉,为接受面部手术的高风险患者提供安全有效的疼痛管理. 这种方法为额头手术提供了全身麻醉的替代方案.
科学领域:
- 麻醉学 麻醉学
- 皮肤外科手术皮肤外科手术
- 在瘤学瘤学.
背景情况:
- 面部手术,特别是在老年或医疗复杂的患者中,带来了重大的麻醉挑战.
- 一般麻醉可能会增加高风险患者群体的风险.
研究的目的:
- 描述面部手术的高风险患者的麻醉管理.
- 评估使用头皮神经阻塞进行额头瘤切除的区域麻醉的疗效和安全性.
主要方法:
- 一名70岁的女性患有多种并发症,接受了基底细胞癌切除术.
- 区域麻醉是通过使用双边的脑上,脑上和肌神经阻塞来实现的.
- 静脉注射芬太尼和普罗波维持了镇静作用.
主要成果:
- 手术程序在没有任何并发症的情况下完成.
- 在整个手术过程中都保持了出色的止痛和稳定的血液动力学.
- 患者很好地忍受了区域麻醉和镇静.
结论:
- 头皮神经阻塞与镇静相结合,为额头手术提供了全身麻醉的安全有效替代方案.
- 这种麻醉技术对于接受面部手术的老年人或医疗复杂的患者尤其有益.
- 区域麻醉可以在高风险的手术候选人中提供足够的疼痛控制和血液动力学稳定性.
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