| 摘要 |
FIELD: medicine, surgery. ^ SUBSTANCE: into area of brachial plexus due to inter-scalene access one should introduce medicinal mixture that contains 2 ml 2%-lidocaine solution, 0.2 ml 0.05%-proserine solution and 3 ml physiological solution. Injection could be also fulfilled due to axillary access. Before injection it is necessary to carry out electrodiagnostics. Thus, at the first stage one should introduce an electrodiagnostic needle into the axilla at the angle of 45 against skin, towards the caput of brachial bone to affect with the current at power being 1 mA, frequency of 2 Hz till the onset of muscular contractions. After that current power should be decreased up to 0.5 mA. Due to moving the needle mentioned, in case of muscular response it is important to inject medicinal mixture. At the second stage one should introduce the electrodiagnostic needle into area of intersection of imaginary line that connects the end of cricoid cartilage with a spinous process of the 6th cervical vertebra with inter-scalene sulcus, in direction 40-45 towards sagittal and frontal planes, for the depth of 0.5-1 cm. One should affect with current power of 1 mA till the onset of muscular contractions. After that current power should be decreased up to 0.5 mA. Due to moving the needle, in case of muscular response it is necessary to inject medicinal mixture. The procedure described should be fulfilled thrice, at 48-h-long interval. The innovation improves interstitial drainage due to creating the effect of "muscular pump". ^ EFFECT: higher efficiency of therapy. ^ 1 ex, 3 tbl |
