解剖学杂志2011，Vol.34Issue(4)：525-527,3.
锁骨中点内上方阻滞臂丛神经的解剖学
Anatomical basis for nerve block of the brachial plexus via superomedial to midpoint of the clavicle
董西安 1李光宗 2郭荣奎 1刘宝梅 3孙静 4鞠晓华 1张志玉5
作者信息
- 1. 潍坊医学院解剖学教研室,潍坊261041
- 2. 临沂市沂水中心医院
- 3. 潍坊市妇幼保健院,潍坊261041
- 4. 威海市立医院,潍坊261041
- 5. 潍坊毛纺厂医院,潍坊261041
- 折叠
摘要
Abstract
Objective: To provide the morphological basis for blocking the brachial plexus via superomedial to midpoint of the clavicle. Methods:Length of the brachial plexus, diameter of the junction of three cords of the brachial plexus above the first rib were measured on sixteen fixed cadavers, in order to identify the optimal point, direction, angle and depth of needling on account that the subclavian artery was prevented. Results: The length of the brachial plexus was 108. 09 mm±12. 49 mm. The diameter of the junction of three cords of the brachial plexus above the first rib was 16. 40 mm±2. 10 mm. The distance of needling pathway was 25. 45 mm± 0. 42 mm. The optimal angle that could protect the subclavian artery was 12. 85°±0. 59°. Conclusion: The needle can be inserted at the point that 10 mm inwards and 23 mm upwards to the midpoint of the clavicle, and run inferolaterally (meaning at 140° that identify as the angle between the vertical line through the needling point and the needling pathway) toward superior border of the midpoint of the clavicle. The angle is 12. 85° to protect the subclavian artery. This approach is effective to complete block the brachial plexus without complications such as pneumothorax and hemothorax.关键词
臂丛神经/神经阻滞/断层解剖/头皮针Key words
brachial plexus/ nerve block/sectional anatomy/ scalp needle引用本文复制引用
董西安,李光宗,郭荣奎,刘宝梅,孙静,鞠晓华,张志玉..锁骨中点内上方阻滞臂丛神经的解剖学[J].解剖学杂志,2011,34(4):525-527,3.
