Murakami Hirohisa, Yoshida Kazunori, Hino Yutaka, Matsuda Hitoshi, Tsukube Takuro, Okita Yutaka
Division of Cardiovascular, Thoracic, and Pediatric Surgery, Department of Cardio-pulmonary and Vascular Medicine, Kobe University Graduate School of Medicine, 7-5-2 Kusunoki-cho, Chuo-ku, Kobe 650-0017, Japan.
J Vasc Surg. 2004 Jan;39(1):243-5. doi: 10.1016/j.jvs.2003.07.013.
Spinal cord ischemia resulting in postoperative paraplegia is a devastating complication of thoracoabdominal aortic aneurysm repair, and has been attributed to many causes. To prevent spinal cord compartment syndrome, cerebrospinal fluid drainage has been used as an adjunct to thoracoabdominal aortic aneurysm repair, with procedure-related complications generally occurring infrequently. We present two case reports of serious complications from CSF drainage.
脊髓缺血导致术后截瘫是胸腹主动脉瘤修复术的一种毁灭性并发症,其病因众多。为预防脊髓腔隙综合征,脑脊液引流已被用作胸腹主动脉瘤修复术的辅助手段,与手术相关的并发症通常很少发生。我们报告两例脑脊液引流严重并发症的病例。