产后硬膜外穿刺后头痛：你的鉴别诊断全面吗？

Postpartum post-dural puncture headache: is your differential diagnosis complete?

作者信息

Bleeker C P, Hendriks I M, Booij L H D J

机构信息

Department of Anaesthesiology, St Radboud University Medical Centre Nijmegen, The Netherlands.

出版信息

Br J Anaesth. 2004 Sep;93(3):461-4. doi: 10.1093/bja/aeh198. Epub 2004 Jun 25.

DOI:10.1093/bja/aeh198

PMID:15220177

Abstract

We describe a patient with an intracerebral haemorrhage following an accidental dural puncture during an attempted epidural for pain relief in labour. Anaesthetists need to include intracerebral haemorrhage in the differential diagnosis of post-dural puncture headache in the puerperium.

摘要

我们描述了一名患者，在分娩时为缓解疼痛尝试进行硬膜外麻醉过程中意外发生硬膜穿刺后出现脑出血。麻醉医生需要将脑出血纳入产褥期硬膜穿刺后头痛的鉴别诊断中。