Muir Jesse J, Church Eric J, Weinmeister Kent P
Department of Anesthesiology, Mayo Clinic, Scottsdale, AZ 85259, USA.
South Med J. 2003 Aug;96(8):811-4. doi: 10.1097/01.SMJ.0000054723.61200.0A.
The authors describe a case of epidural hematoma in association with dextran infusion in a patient who had undergone a peripheral vascular operation with epidural analgesia. Possible mechanisms for the anticoagulant effect of dextran and guidelines for the use of anticoagulant therapy in patients undergoing epidural anesthesia are discussed.
作者描述了1例在接受外周血管手术并采用硬膜外镇痛的患者中，右旋糖酐输注相关的硬膜外血肿病例。文中讨论了右旋糖酐抗凝作用的可能机制以及硬膜外麻醉患者抗凝治疗的使用指南。
