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Stellate Ganglion Block
星狀神經節阻滯
Overview(概述)
A stellate ganglion nerve block is an injection that numbs branches of nerves in your neck. This helps doctors find and treat a number of problems linked to the nerves. Treatment may require a series of injections.
星狀節神經阻滯是注射藥物麻痺頸部的神經分支,有助於醫生診斷和治療與神經相關的疾病。治療疾病可能需要一系列的注射。
About the Stellate Ganglion Nerves(關於星狀節神經)
The stellate ganglion nerves travel along both sides of your spine. They are associated with a wide range of bodily functions that you don't consciously control. These include blushing, heart rate, sweating and the dilation of your pupils.
星狀節神經走行於脊柱兩側,它們與廣泛的不受意識控制的身體功能有關,包括臉紅、心率、出汗、瞳孔的擴張等。
Preparation(準備)
In preparation for the procedure, you lie on your back. You are given medicine to make you feel relaxed. The skin and tissue of your neck is numbed.
準備手術時,患者仰臥,用藥物使之放鬆。麻醉頸部的皮膚和組織。
Inserting the Needle(穿刺)
The physician inserts a needle and carefully guides it to the nerves of the stellate ganglion. The physician typically uses an x-ray device called a "fluoroscope." This shows a video image of the needle's position. Contrast dye may be injected to help confirm that the needle is placed correctly.
醫生小心地將針穿到星狀節神經,通常用稱為「透視機」的X線設備,可顯示針的位置的視頻圖像。可能會注射對比造影劑來確認針穿刺位置無誤。
Injecting the Medicine(注入藥物)
Next, the physician injects medicine. It bathes the nerves. It can numb the nerves and reduce inflammation. If these nerves have been a source of pain, the medicine can relieve it. The injection may also provide other benefits, depending on your needs.
接著,醫生注入藥物,浸浴神經,麻痺神經,減輕炎症反應。如果這些神經是引起疼痛的原因,藥物能夠緩解疼痛。注射還有其它作用,取決於病人的需求。
End of Procedure(手術結束)
When the procedure is complete, the needle is removed and the injection site is covered with a bandage. You will be monitored for a brief time before you are allowed to go home. After a stellate ganglion block, many people experience some noticeable temporary effects. The arm on the side where you were given the injection may feel warm and tingly. Your voice may be hoarse. You may have nasal congestion, a flushed face and a droopy eye. These effects are normal, and they usually disappear after a few hours. You may need to return for more injections in the future.
手術結束後,將針拔除,注射部位貼上創可貼。經過短時間的生命體徵監護,病人可以回家。在星狀神經節阻滯後,許多病人會有明顯的短期反應。注射側的上肢會感覺溫熱和刺痛,聲音可能嘶啞,鼻塞、臉紅、眼瞼下垂。這些反應是正常的,它們通常會在幾個小時後消失。以後病人可能需要進行多次注射。
(胡佰文 譯)
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骨科手術早知道173:星狀神經節阻滯(Stellate Ganglion Block)
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