截瘫患者硬膜外导管拔出后发生硬脊膜外血肿。
Spinal epidural hematoma following epidural catheter removal in a paraplegic patient.
机构信息
Department of Anesthesiology, Sunnybrook Health Sciences Centre, Toronto, ON, Canada.
出版信息
J Clin Anesth. 2009 Nov;21(7):525-8. doi: 10.1016/j.jclinane.2008.12.020.
Spinal epidural hematoma is a rare and devastating complication of epidural catheter removal in an anticoagulated patient. The diagnosis could be quite challenging, especially in patients with preexisting neurological deficits. A 35-year-old patient with remote spinal cord injury and T4 level paraplegia developed a spinal epidural hematoma on the 7th postoperative day. The hematoma developed after epidural catheter removal with concurrent administration of unfractionated heparin.
脊髓硬膜外血肿是抗凝患者硬膜外导管拔出的罕见且严重的并发症。诊断极具挑战性，尤其是对于存在先前神经功能缺损的患者。一位 35 岁的患者，曾有过脊髓损伤和 T4 平面截瘫，术后第 7 天发生了脊髓硬膜外血肿。血肿是在硬膜外导管拔出的同时使用未分级肝素时发生的。
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