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全髋关节置换术脊髓麻醉后迟发性脊髓硬膜下血肿

Late spinal subdural haematoma after spinal anaesthesia for total hip replacement.

作者信息

Moussallem C D, El-Yahchouchi C A, Charbel A C, Nohra G

机构信息

Faculty of Medical Sciences Lebanese University, P O Box 113-6155, Beirut, Lebanon.

出版信息

J Bone Joint Surg Br. 2009 Nov;91(11):1531-2. doi: 10.1302/0301-620X.91B11.22258.

DOI:10.1302/0301-620X.91B11.22258
PMID:19880902
Abstract

We present a case of delayed presentation of a subdural haematoma causing cauda equina syndrome which occurred 96 hours after a spinal anaesthetic had been administered for an elective total hip replacement in an 86-year-old man. The patient had received low-molecular-weight heparin anticoagulation which had been delayed until 12 hours postoperatively. No other cause of the haemorrhage could be identified.

摘要

我们报告一例硬膜下血肿导致马尾综合征的延迟病例，该病例发生在一名86岁男性接受择期全髋关节置换术椎管内麻醉96小时后。患者接受了低分子量肝素抗凝治疗，该治疗推迟至术后12小时进行。未发现其他出血原因。

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引用本文的文献

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Vertebroplasty and delayed subdural cauda equina hematoma: Review of literature and case report.椎体成形术与迟发性硬脑膜下马尾神经血肿：文献综述与病例报告
World J Clin Cases. 2017 Aug 16;5(8):333-339. doi: 10.12998/wjcc.v5.i8.333.
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Spinal Subdural Hematoma Associated with Intracranial Subdural Hematoma.脊髓硬膜下血肿伴颅内硬膜下血肿
J Korean Neurosurg Soc. 2015 Oct;58(4):397-400. doi: 10.3340/jkns.2015.58.4.397. Epub 2015 Oct 30.
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Acute Spinal Subdural Hematoma after Vertebroplasty: A Case Report Emphasizing the Possible Etiologic Role of Venous Congestion.
经皮椎体成形术后急性硬脊膜下血肿：强调静脉充血可能病因作用的 1 例报告。
Global Spine J. 2015 Oct;5(5):e52-8. doi: 10.1055/s-0035-1544155. Epub 2015 Feb 2.
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Delayed postoperative epidural hematoma presenting only with vesicorectal disturbance.仅表现为膀胱直肠功能障碍的术后延迟性硬膜外血肿。
Case Rep Orthop. 2013;2013:861961. doi: 10.1155/2013/861961. Epub 2013 Sep 1.
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Migration of traumatic intracranial subdural hematoma to lumbar spine causing radiculopathy.
Surg Neurol Int. 2013 Jun 19;4:81. doi: 10.4103/2152-7806.113647. Print 2013.
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Cauda equina syndrome after spinal anaesthesia in a patient with asymptomatic tubercular arachnoiditis.一名患有无症状结核性蛛网膜炎的患者在脊髓麻醉后出现马尾综合征。
Indian J Anaesth. 2011 Jul;55(4):375-7. doi: 10.4103/0019-5049.84864.