Vermin Ben, van Poorten Frans, Stienstra Rudolf
Leids Universitair Medisch Centrum, afd. Anesthesiologie, Leiden, The Netherlands.
Ned Tijdschr Geneeskd. 2009;153:A72.
A 73-year-old man with an extensive cardiovascular risk profile and history underwent a transurethral resection of the prostate under spinal anaesthesia. The use of acetylsalicylic acid was stopped 10 days before the operation. No anaesthesiological or surgical complications occurred during the operation, but 6 hours after the operation the patient developed severe pain in both legs. Besides the hyperalgesia, there was a paresis and a reduced sensitivity of the legs. The patient had developed anterior spinal artery syndrome due to ischaemia of the lower thoracic myelum. Despite intensive rehabilitation this ultimately resulted in a residual disability and the patient became wheelchair bound. There seems to be a correlation between the patient's comorbidity, the stopping of the thrombocyte aggregation inhibitor and the occurrence of this particularly rare complication.
一名有广泛心血管风险因素和病史的73岁男性在脊髓麻醉下接受了经尿道前列腺切除术。手术前10天停用了阿司匹林。手术期间未发生麻醉或手术并发症，但术后6小时患者双下肢出现剧痛。除痛觉过敏外，双下肢还出现了轻瘫和感觉减退。患者因下胸段脊髓缺血发展为脊髓前动脉综合征。尽管进行了强化康复治疗，但最终仍导致了残留残疾，患者只能依靠轮椅行动。患者的合并症、血小板聚集抑制剂的停用与这种极为罕见的并发症的发生之间似乎存在关联。
