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脊柱硬膜外脓肿——分娩时硬膜外镇痛后的一种罕见并发症。

Spinal epidural abscess--a rare complication after epidural analgesia for labour and delivery.

作者信息

Schroeder T H, Krueger W A, Neeser E, Hahn U, Unertl K

机构信息

Department of Anaesthesiology and Critical Care Medicine, Tübingen University Hospital, Tübingen, Germany.

出版信息

Br J Anaesth. 2004 Jun;92(6):896-8. doi: 10.1093/bja/aeh152. Epub 2004 Apr 2.

Abstract

We report a case of spinal epidural abscess formation after short-term epidural catheter placement for analgesia during labour and delivery. The patient was previously healthy and did not have any predisposing factors. Increasing back pain was the only complaint. A contrast-enhanced CT study on day 5 was inconclusive. Magnetic resonance imaging was performed and showed a large triangular-shaped abscess with adjacent inflammation of the paravertebral muscles. One day later, the patient developed a sensory deficit in the left lower limb. The neurological deficit completely resolved after surgical decompression and debridement, which was followed by antibiotic treatment.

摘要

我们报告一例在分娩镇痛期间短期放置硬膜外导管后发生脊髓硬膜外脓肿的病例。患者既往健康,无任何易感因素。唯一的主诉是背痛加重。第5天的增强CT检查结果不明确。随后进行了磁共振成像检查,显示一个大的三角形脓肿,伴有邻近椎旁肌肉炎症。一天后,患者左下肢出现感觉障碍。经手术减压和清创,随后进行抗生素治疗后,神经功能缺损完全恢复。

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