Castillo J, Santiveri X, Escolano F, Castaño J, Gomar C, Canet J, Sabaté S
Servicio de Anestesiología, Hospital Mar-Esperança, Barcelona.
Rev Esp Anestesiol Reanim. 2007 Dec;54(10):591-5.
To study the incidence in Catalonia of spinal cord compression due to spinal hematoma secondary to neuraxial anesthesia.
The incidence of hematoma was based on published cases (MEDLINE, the Spanish Medical Index [Indice Medico Español], and Google) or cases reported at medical meetings or conferences by anesthesiologists from Catalan hospitals from 1996 to 2005, inclusive. The annual number of neuraxial anesthesias (spinal, epidural, and combined) was estimated based on the ANESCAT 2003 survey and the total number of anesthesias was calculated using the ANESCAT 2003 survey in conjunction with the surgical reports of Catalan hospitals.
A total of 11 cases of spinal hematoma after neuraxial anesthesia (7 after spinal anesthesia and 4 after epidural anesthesia) were reported or published from 1996 to 2005, inclusive. A total of 194 154 neuraxial anesthesias were performed in 2003 (126 560 spinal anesthesias and 5926 combined spinal-epidural anesthesias) and it was estimated that somewhat over 1 700 000 neuraxial anesthesias were performed over the 10 years reviewed. The incidence (95% confidence interval [CI]) of hematoma was 0.6 (95% CI, 0.3-1.2) per 100 000 neuraxial anesthesias, 0.6 (95% CI, 0.3-1.3) per 100 000 spinal anesthesias, and 0.7 (95% CI, 0.2-1.9) per 100 000 epidural anesthesias.
The incidence of spinal hematoma after neuraxial anesthesia is slightly more than 1 per 150 000 anesthesias-a similar finding to that of other epidemiological studies. The incidence is slightly higher in epidural anesthesia. These data imply a risk of approximately 1 spinal hematoma per year in Catalonia.
研究加泰罗尼亚地区因神经轴索麻醉继发脊髓血肿导致脊髓压迫的发生率。
血肿发生率基于已发表的病例（MEDLINE、西班牙医学索引[Indice Medico Español]和谷歌）或1996年至2005年（含）期间加泰罗尼亚医院麻醉医生在医学会议上报告的病例。根据2003年ANESCAT调查估算每年神经轴索麻醉（脊髓麻醉、硬膜外麻醉和联合麻醉）的数量，并结合加泰罗尼亚医院的手术报告，使用2003年ANESCAT调查计算麻醉总数。
1996年至2005年（含）期间，共报告或发表了11例神经轴索麻醉后脊髓血肿病例（7例脊髓麻醉后，4例硬膜外麻醉后）。2003年共进行了194154例神经轴索麻醉（126560例脊髓麻醉和5926例脊髓-硬膜外联合麻醉），据估计在回顾的10年中进行了略超过170万例神经轴索麻醉。血肿发生率（95%置信区间[CI]）为每10万例神经轴索麻醉0.6例（95%CI，0.3 - 1.2），每10万例脊髓麻醉0.6例（95%CI，0.3 - 1.3），每10万例硬膜外麻醉0.7例（95%CI，0.2 - 1.9）。
神经轴索麻醉后脊髓血肿的发生率略高于每15万例麻醉1例——这与其他流行病学研究结果相似。硬膜外麻醉的发生率略高。这些数据表明加泰罗尼亚地区每年约有1例脊髓血肿风险。
