【摘要】 [目的]用利多卡因替代地卡因进行表面麻醉,以避免临床使用过程中发生地卡因中毒反应,提高医疗安全。[方法]用2%利多卡因喷雾或镜下直接注入进行表面麻醉。[结果]临床应用728例纤维喉镜诊疗,其中镜下手术为108例,麻醉有效率为100%,满意率为99.7%。[结论]利多卡因较地卡因具有临床使用量安全,副作用小,对组织刺激性小,毒性低,弥散广等不同点,同时兼有组织穿透力强、麻醉效果好等共性,可作为耳鼻喉科部分腔镜诊疗的首选表面麻醉药。更多还原

【Abstract】 [Objective] In order to avoid toxic reaction of dicaine in the course of clinic application and occurring medical negligence,we take advantage of lidocaine in superficial anesthesia instead of dicaine.[Methods] To spray or drop directly on the surface of mucous with 2%lidocaine.[Results]Among 728 cases of diagnosis and treatment with laryngofiberscope,involving 198 cases of surgery,effective rate is 100%,satisfactory rate is 99.7%.[Conclusion]Lidoceeine not only has the advantage of security of absorbed dose,less side-effect,less stimulability to the tissue,lower toxicity wider dispersion,but also the commonness of strong penetrating power,perfect anesthesia effect.It is the preferred anesthesia remedy in otolaryngological surgery with laryngoscope.更多还原