Yamada Masaki, Fukuda Hirokazu, Hirabayashi Yoshihiro, Seo Norimasa
Department of Anesthesiology, Ito Hospital, Shizuoka 414-0054.
Masui. 2003 Dec;52(12):1323-6.
A 55-year-old woman with rheumatic arthritis was scheduled for total hip replacement. The procedure was performed under combined spinal and epidural anesthesia. Intraoperatively, the part of acetabular roof was cracked by reaming the region but she did not complain of any symptom. However, during pulse irrigation she complained of abdominal pain. After the operation, abdominal distension was noticed and retroperitoneal emphysema was disclosed. She was managed in a ward without problems postoperatively.
一名55岁的风湿性关节炎女性患者计划接受全髋关节置换术。手术在腰麻联合硬膜外麻醉下进行。术中，在髋臼顶部区域扩孔时出现部分骨裂，但患者未诉任何症状。然而，在脉冲冲洗过程中，她主诉腹痛。术后，发现腹胀并伴有腹膜后气肿。她在病房接受治疗，术后情况良好。
