接受高剂量依诺肝素治疗的患者拔除硬膜外导管后发生硬膜外血肿。
Epidural haematoma after removal of an epidural catheter in a patient receiving high-dose enoxaparin.
作者信息
Yin B, Barratt S M, Power I, Percy J
机构信息
Department of Anaesthesia and Pain Management, University of Sydney, Royal North Shore Hospital, St Leonards, NSW, Australia.
出版信息
Br J Anaesth. 1999 Feb;82(2):288-90. doi: 10.1093/bja/82.2.288.
PMID:10365013
Abstract
A patient developed an epidural haematoma 6 days after removal of an epidural catheter resulting in paraplegia and death. Insertion and removal of the epidural catheter during anticoagulation with prophylactic unfractionated heparin and subsequent administration of high-dose enoxaparin (Clexane), which commenced 3 days after catheter removal, were implicated.
摘要
一名患者在拔除硬膜外导管6天后出现硬膜外血肿，导致截瘫并死亡。硬膜外导管的插入和拔除是在使用预防性普通肝素抗凝期间进行的，并且在拔除导管3天后开始随后给予大剂量依诺肝素（克赛），这些都被认为与此有关。
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