[无凝血功能障碍患者硬膜外阻滞术后发生硬膜外血肿]

[Epidural hematoma after an epidural block in a patient with no coagulopathy].

作者信息

Oda Koji, Kosogabe Yoshinori, Takigawa Tomoaki, Fukushima Tomihiro, Ishizu Tomoko, Tanaka Toshiaki, Tokioka Hiroaki

机构信息

Department of Anesthesiology, Okayama Rosai Hospital, Okayama 702-8055.

出版信息

Masui. 2004 Sep;53(9):1047-50.

PMID:15500110

Abstract

We report a case of epidural hematoma after a single epidural block. The patient was a 67-year-old woman with sciatica and osteoarthritis of the spine. She had no coagulopathy. She underwent a single epidural block without difficulty 3 times in 5 days. She had a lumbar MRI for an examination of the spine 4 days after the final epidural block. Subacute epidural hematoma of 0.8 x 1.5 x 3.0 cm was revealed on MRI at L 3-4. She had no new neurological symptoms. MRI 1 month later revealed a resolution of the hematoma. Epidural hematoma after an epidural block might occur in an outpatient with no bleeding tendency.

摘要

我们报告一例单次硬膜外阻滞术后发生硬膜外血肿的病例。患者为一名67岁女性，患有坐骨神经痛和脊柱骨关节炎。她没有凝血功能障碍。她在5天内顺利接受了3次单次硬膜外阻滞。在最后一次硬膜外阻滞后4天，她接受了腰椎MRI检查以评估脊柱情况。MRI显示L3-4水平有一个0.8×1.5×3.0cm的亚急性硬膜外血肿。她没有新的神经症状。1个月后的MRI显示血肿消退。硬膜外阻滞术后硬膜外血肿可能发生在没有出血倾向的门诊患者中。