Regional Anesthesia and Acute Pain ManagementRegional Anesthesia and Acute Pain ManagementРегионарная анестезия и лечение острой боли1993-65082687-1394Eco-Vector3620110.17816/RA36201ArticlesСтатьиResearch ArticleChronic post-thoracotomy pain (literature review)Хронический болевой синдром после операций на грудной клеткеTimerbayevV. KhТимербаевВ. ХLesnikV. YuЛесникВ. ЮGenovP. GГеновП. ГFSBI “N.V. Sklifosovsky Research Institute of Emergency Care”, Moscow Healthcare Department, 129090, MoscowГБУЗ «НИИ скорой помощи им. Н.В. Склифосовского Департамента здравоохранения г. Москвы», 129090, Москва1503201481VOL 8, NO1 (2014)ТОМ 8, №1 (2014)142021072020Copyright ©; 2014, Eco-VectorCopyright ©; 2014, ООО "Эко-Вектор"2014Eco-VectorООО "Эко-Вектор"https://rjraap.com/1993-6508/article/view/36201

The incidence of chronic post-thoracotomy pain may achieve up to 80% in patients undergone thoracic surgery. Many pathogenic factors are involved in developing of chronic pain and the main of them is injury of intercostal nerves. The neuropathic component of pain occurs in almost half of such patients worsening their status significantly and disrupting their activity. Valuable prophylaxis of chronic post- thoracotomy pain may be provided by preventive using methods of regional analgesia and epidural anesthesia and paravertebral block are the basic techniques for these purpose.

Частота формирования хронического постторакотомического болевого синдрома может достигать 80% у пациентов, перенесших операции на грудной клетке. В развитие хронической боли вовлечены множество патогенетических факторов, основным из которых является повреждение межреберных нервов. Нейропатический компонент боли присутствует почти у половины таких пациентов, существенно ухудшая их состояние и нарушая работоспособность. Существенную профилактику хронического постторакотомического болевого синдрома можно осуществить, превентивно применяя регионарные методы обезболивания, основными из которых являются продленные эпидуральная анестезия и паравертебральная блокада

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