Lee J J, Parry H
Department of Anaesthesia, Watford General Hospital, Herts.
Br J Anaesth. 1991 Mar;66(3):383-6. doi: 10.1093/bja/66.3.383.
We report a case of meningitis caused by inadvertent introduction of bacteria following spinal anaesthesia for Caesarean section. The technique of performing the spinal anaesthesia is reviewed. Meningitis may occur, although very rarely, despite meticulous aseptic techniques. It is vital that meningitis should be considered in the differential diagnoses of post-spinal headache when patients present with headaches, pyrexia and meningism in the postoperative or postpartum period.
我们报告了一例剖宫产脊髓麻醉后因细菌意外引入导致的脑膜炎病例。回顾了实施脊髓麻醉的技术。尽管采用了细致的无菌技术,但脑膜炎仍可能发生,尽管极为罕见。当患者在术后或产后出现头痛、发热和脑膜刺激征时,在脊髓穿刺后头痛的鉴别诊断中考虑到脑膜炎至关重要。