本文選題：硬膜下腔 + 解剖��； 參考：《延邊大學(xué)》2007年碩士論文

【摘要】： 目的：通過對硬膜下腔解剖形態(tài)的分析，從而為臨床麻醉中所遇到的異常阻滯平面提供佐證，提醒麻醉醫(yī)師在工作中時(shí)刻注意硬膜下腔的存在，，及時(shí)認(rèn)識(shí)到某些并發(fā)癥是根源于硬膜下腔阻滯，盡可能避免出現(xiàn)硬膜下腔置管引起的嚴(yán)重危險(xiǎn)境地。 方法： 1．通過對離體牛脊柱的解剖，明確在硬脊膜與蛛網(wǎng)膜之間存在一腔隙——硬膜下腔； 2．通過對活體狗的脊柱解剖，分析硬脊膜下腔解剖學(xué)意義； 3．通過對臨床出現(xiàn)廣泛阻滯的患者術(shù)后不拔管，由導(dǎo)管注入照影劑歐乃派克4ml進(jìn)行術(shù)后照影。 結(jié)果： 1．在離體牛脊柱上硬脊膜下腔較易分離，暴露完全。照片見正文。 2．活體狗的硬脊膜下腔基本暴露完全，亦可證實(shí)硬膜下腔的存在。 3．臨床患者術(shù)后X線確認(rèn)導(dǎo)管不在硬膜外腔和蛛網(wǎng)膜下腔，而在另一個(gè)腔隙即硬脊膜下腔。 結(jié)論：硬脊膜下腔真實(shí)存在而并非是導(dǎo)管的“解剖”作用，硬脊膜下腔的解剖學(xué)特點(diǎn)可對臨床上出現(xiàn)麻醉平面過廣作出合理化解釋。因此，該實(shí)驗(yàn)對認(rèn)為硬脊膜下腔是一“潛在腔隙”的傳統(tǒng)觀點(diǎn)，提出了挑戰(zhàn)與新的認(rèn)識(shí)。
[Abstract]:Objective : To provide evidence for the abnormal block plane encountered in clinical anesthesia by analyzing the anatomical morphology of the inferior vena cava , so as to remind the anesthesiologist to pay attention to the presence of the lower cavity in the hard membrane at all times during the work . It is timely to realize that some complications are the root causes of the lower cavity block of the hard membrane , and the serious dangerous situation caused by the inferior vena cava of the hard membrane is avoided as far as possible .






Method :






1 . It is clear that there is a cavity _ epidural space between the dura mater and the subarachnoid space through the dissection of the spinal column in vitro .







2 . To analyze the anatomical significance of the inferior cavity of the dura mater by the spinal anatomy of the living dog ;







3 . After operation of the patients with extensive clinical block , 4ml was injected into 4 ml of the catheter for postoperative illumination .






Results :






1 . The lower cavity of the dura mater on the isolated bovine spinal column is easier to separate , and the exposure is complete . See the text .






2 . The lower cavity of the dura mater of the living dog was completely exposed , and the presence of the lower cavity of the hard film could be confirmed .






3 . X - ray confirmed that the catheter was not in the epidural space and subarachnoid space after operation , while in the other cavity , i . e . , the lower cavity of the dura mater .






Conclusion : The real existence of the inferior cavity of the dura mater is not the " anatomy " of the catheter , and the anatomical features of the inferior cavity of the dura mater can reasonably explain the clinical appearance of the anesthesia plane . Therefore , the experiment has put forward the challenge and the new understanding of the traditional view that the inferior cavity of the dura mater is a " potential lacunar " .

【學(xué)位授予單位】：延邊大學(xué)
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2007
【分類號】：R614;R322

【引證文獻(xiàn)】

相關(guān)期刊論文 前1條

1 楊遠(yuǎn)平;孫春紅;;30例硬膜下間隙神經(jīng)阻滯治療癌性疼痛的臨床研究[J];中國當(dāng)代醫(yī)藥;2011年17期

本文編號：1782399