硬膜下脓肿和感染性血肿使分娩区域镇痛复杂化。

A subdural abscess and infected blood patch complicating regional analgesia for labour.

作者信息

Collis R E, Harries S E

机构信息

Department of Anaesthetics, University Hospital of Wales, Cardiff, UK.

出版信息

Int J Obstet Anesth. 2005 Jul;14(3):246-51. doi: 10.1016/j.ijoa.2005.03.002.

DOI:10.1016/j.ijoa.2005.03.002

PMID:15935637

Abstract

We report two very unusual cases of infection complicating labour analgesia. The first case was a sub-dural abscess presenting with deep-seated backache seven days after combined spinal-epidural analgesia for labour. The second was a painful lumbar swelling and septicaemia that presented three days after a blood patch for a post dural puncture headache. Because of their complicated and unusual presentation, the diagnosis and management of both were initially delayed.

摘要

我们报告了两例分娩镇痛并发感染的非常罕见的病例。第一例是在分娩联合脊髓硬膜外镇痛七天后出现深部背痛的硬脑膜下脓肿。第二例是在硬膜穿刺后头痛进行血液补片治疗三天后出现的疼痛性腰部肿胀和败血症。由于其临床表现复杂且不寻常，两例的诊断和处理最初均被延误。