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一名儿童在全身麻醉和硬膜外麻醉联合下行开胸术后发生截瘫。

Paraplegia after thoracotomy under combined general and epidural anesthesia in a child.

作者信息

Allison C E, Aronson D C, Geukers V G M, van den Berg R, Schlack W S, Hollmann M W

机构信息

Department of Anesthesiology, Emma Children's Hospital, Amsterdam, The Netherlands.

出版信息

Paediatr Anaesth. 2008 Jun;18(6):539-42. doi: 10.1111/j.1460-9592.2008.02590.x.

Abstract

A 9-year-old boy underwent a thoracotomy for excision of his right third rib under combined general and epidural anesthesia for a Ewings sarcoma. Postoperatively, he was found to have a complete T2-3 paraplegia. Permanent paraplegia was described as a rare complication of thoracotomy in adults, and very rarely after epidural analgesia in adults and babies. This was the first report in a child.

摘要

一名9岁男孩因尤文肉瘤在全身麻醉和硬膜外麻醉联合下接受了开胸手术以切除其右第三肋骨。术后,他被发现出现了完全性T2 - 3截瘫。永久性截瘫被描述为成人开胸手术的一种罕见并发症,在成人和婴儿硬膜外镇痛后则极为罕见。这是在儿童中的首例报告。

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