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脊髓麻醉下外周血管手术后的脊髓梗死与截瘫

Spinal cord infarction and paraplegia after peripheral vascular surgery with spinal anesthesia.

作者信息

Pashkovskoya Irina, Smith Charles E

机构信息

Department of Anesthesia, MetroHealth Medical Center, Cleveland, OH 44124, USA.

出版信息

J Clin Anesth. 2004 Sep;16(6):440-4. doi: 10.1016/j.jclinane.2003.09.019.

DOI:10.1016/j.jclinane.2003.09.019
PMID:15567648
Abstract

Paraplegia after peripheral vascular surgery under spinal anesthesia is rare and may be a result of multiple factors, including hematoma, trauma from the needle, toxic injection, and spinal cord infarction. We report a case of T(10) paraplegia after uncomplicated spinal anesthesia in a patient undergoing emergency thrombectomy and femoral-popliteal bypass.

摘要

脊髓麻醉下外周血管手术后发生截瘫较为罕见,可能是多种因素导致的,包括血肿、穿刺针创伤、毒性注射以及脊髓梗死。我们报告一例在接受急诊血栓切除术和股腘动脉搭桥术的患者中,在无并发症的脊髓麻醉后出现T10节段截瘫的病例。

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Spinal cord infarction and paraplegia after peripheral vascular surgery with spinal anesthesia.脊髓麻醉下外周血管手术后的脊髓梗死与截瘫
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引用本文的文献

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Surgical repair following trauma to vascular graft causing spinal cord infarction.创伤致血管移植物损伤后行脊髓梗死的外科修复术。
BMJ Case Rep. 2014 Apr 16;2014:bcr2013202283. doi: 10.1136/bcr-2013-202283.
2
Recovery after spinal cord infarcts: long-term outcome in 115 patients.脊髓梗死的恢复:115 例患者的长期结果。
Neurology. 2012 Jan 10;78(2):114-21. doi: 10.1212/WNL.0b013e31823efc93. Epub 2011 Dec 28.
3
Spinal cord infarction with multiple etiologic factors.伴有多种病因的脊髓梗死。
J Gen Intern Med. 2007 Jan;22(1):151-4. doi: 10.1007/s11606-006-0029-8.