Harrison D A, Langham B T
University Department of Anaesthesia, University Hospital, Queen's Medical Centre, Nottingham.
Anaesthesia. 1992 Oct;47(10):902-3. doi: 10.1111/j.1365-2044.1992.tb03161.x.
A survey was conducted on 100 consecutive patients who underwent spinal anaesthesia in our urology operating theatres. Details of the spinal technique were recorded in the operating theatre. In 25% of patients, more than one attempt at subarachnoid puncture was required and 16% of this group went on to require general anaesthesia. The patients were visited between 24 and 48 h postoperatively by one of the authors. On questioning, 24% of patients reported a headache, which had the characteristics associated with dural puncture; 62% of these headaches were described as moderate or severe and lasted between 12 and 24 h. Patients were significantly (p < 0.05) more likely to develop a postdural puncture headache if more than one attempt at subarachnoid puncture was made.
对在我们泌尿外科手术室接受脊髓麻醉的100例连续患者进行了一项调查。脊髓麻醉技术的详细情况记录在手术室中。25%的患者需要进行不止一次蛛网膜下腔穿刺尝试，且该组中有16%的患者最终需要全身麻醉。术后24至48小时内，由一位作者对患者进行访视。经询问，24%的患者报告有头痛，其具有与硬膜穿刺相关的特征；这些头痛中有62%被描述为中度或重度，持续12至24小时。如果进行了不止一次蛛网膜下腔穿刺尝试，患者发生硬膜穿刺后头痛的可能性显著更高（p<0.05）。
