Bugedo G, Valenzuela J, Muñoz H
Departamento de Anestesiología, Hospital Clínico de la Pontificia Universidad Católica de Chile, Santiago de Chile.
Rev Med Chil. 1991 Apr;119(4):440-2.
Aseptic meningitis after lumbar puncture and spinal anesthesia is a rare but serious complication, whose acute onset and clinical symptoms mimic septic meningitis. A 33 year old woman presented this complication 5 h after an uneventful cesarean section under subarachnoid blockade. Though lumbar puncture revealed pleocytosis with negative Gram stains and cultures, she was treated with antibiotics and made a full recovery. The clinical picture, differential diagnosis and value of early lumbar puncture are discussed. The successful use of midazolam to treat psychomotor agitation in this patient is also reported.
腰椎穿刺和脊髓麻醉后发生的无菌性脑膜炎是一种罕见但严重的并发症,其急性起病和临床症状类似于化脓性脑膜炎。一名33岁女性在蛛网膜下腔阻滞下进行的剖宫产手术顺利结束5小时后出现了这种并发症。尽管腰椎穿刺显示细胞增多,革兰氏染色和培养均为阴性,但她接受了抗生素治疗并完全康复。本文讨论了其临床表现、鉴别诊断及早期腰椎穿刺的价值。还报告了成功使用咪达唑仑治疗该患者精神运动性激越的情况。