Heeman Annelies E, Reidinga Auke C, Groen Rob J M, Wierda J M K H Mark, Schiere Sjouke
Algemeen Ziekenhuis De Tjongerschans, Heerenveen, The Netherlands.
Ned Tijdschr Geneeskd. 2009;153:B402.
A 63-year-old man underwent an exploratory laparotomy because of rectal carcinoma. The operation was performed under general anaesthesia in combination with epidural anaesthesia. Since the operation the patient complained of a headache. Eight weeks after the operation he was hospitalized because of worsening of the headache and also drowsiness. A physical examination showed a slight tendency to incline to the left. A CT scan showed a subdural haematoma, which was relieved with surgery. We suspected that accidental puncture of the dura caused the haematoma. The incidence, causes, symptoms, diagnosis and treatment of this rare complication are discussed.
一名63岁男性因直肠癌接受了剖腹探查术。手术在全身麻醉联合硬膜外麻醉下进行。自手术后，患者一直抱怨头痛。术后八周，他因头痛加剧及嗜睡而住院。体格检查显示有轻微向左倾斜的倾向。CT扫描显示硬膜下血肿，通过手术得以缓解。我们怀疑硬膜意外穿刺导致了血肿。本文讨论了这种罕见并发症的发生率、病因、症状、诊断及治疗。
