胸壁神经阻滞,胸壁手术镇痛方式的比较,胸壁神经支配,Intercostal nerve sensory distribution,Neural innervation of chest wall,硬膜外阻滞,胸椎旁阻滞,前锯肌平面阻滞 （肋间神经侧皮支）,肋间神经阻滞,胸骨旁肋间神经阻滞 (肋间神经前皮支),Thoracic Paravertebral Block,Thoracic Paravertebral Block,Thoracic Paravertebral Block,Thoracic Paravertebral Block,胸壁神经阻滞,Neural innervation of anterior chest wall and breast,Supraclavicular nerve C3-C4,Neural innervation of anterior chest wall and breast,Lateral pectoral nerve C5-C7,Medial pectoral nerve C8-T1,Neural innervation of anterior chest wall and breast,Long thoracic nerve C5-C7,Neural innervation of anterior chest wall and breast,Thoracodorsal nerve C6-C8,Neural innervation of anterior chest wall and breast,Lateral intercostal cutaneoous nerve T2-T6,Anterior intercostal cutaneoous nerve T2-T6,Neural innervation of anterior chest wall and breast,Thoracic wall block:,PECS 1 : interfascial plane between pectoralis major and minor N. pectorales medialis + lateralis (M. pectoralis major),Blanco R, Anaesthesia. 2011 Sep;66(9):847-8 Blanco R et al, Rev Esp Anestesiol Reanim. 2012 Nov;59(9):470-5 Blanco R et al, Anaesthesia 2013, 68, 11071113,Georg Thieme Verlag,PECS 1,PECS 1,PECS 1: Injection,Ast der A. thoracoacromialis,Thorax wall block:,PECS 1 N. pectorales medialis + lateralis (M. pectoralis major) PECS 2 Lateral cutaneous branch of thoracic intercostal neerve nerve T2-T6 + N. thoracicus longus (M. serratus anterior),Blanco R, Anaesthesia. 2011 Sep;66(9):847-8 Blanco R et al, Rev Esp Anestesiol Reanim. 2012 Nov;59(9):470-5 Blanco R et al, Anaesthesia 2013, 68, 11071113,Georg Thieme Verlag,M. serratus anterior,N. spinalis,Putz/Pabst: Sobotta. Atlas der Anatomie des Menschen, 21. Aufl. Urban 66(9):847-8 Blanco R et al, Rev Esp Anestesiol Reanim. 2012 Nov;59(9):470-5 Blanco R et al, Anaesthesia 2013, 68, 11071113,Georg Thieme Verlag,Georg Thieme Verlag,Thank You,