지속적 상박신경총 액와부차단에 대한 임상적 고찰

• Published in: Korean journal of anesthesiology Vol. 19; no. 2; pp. 135 - 140
• Main Authors: 최광균, Kwang Kyun Choi, 정선희, Sun Hee Chung, 정기봉, Ki Bong Chung, 김혜경, Hae Kyung Kim, 안창근, Chang Keun Ahn
• Format: Journal Article
• Language: Korean
• Published: 대한마취통증의학회 30.03.1986
• ISSN: 2005-6419

Several methods for the management of intractable pain for various conditions including malignant disorders, herpes zoster, and low back pain and/or sciatica in 80 patients were described and analyzed. Neurolytic blodks of celiac plexus were given to the patienta suffering from intra-abdominal pain from malignant origin or chronic pancreatitis. Herpes zoster was treated mainly by chemical sympathectomy via paravertebral route and occassionaly corticosteroid was administered epidurally with the local anesthetic, bupivacaine. All the patients with low back pain and/or sciatica were given epidural corticosteroid one to three times. Other peripheral verve blocks and regional corticosteroid therapy were given to the rest of the patients. Fair to excellent result was obtained in 71% of the patients but the response was poor in the remaining 28% of the patients. It seems that the earlier the patients were referred to the pain clinic, the better the results were.