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剖宫产脊髓麻醉后发生的细菌性脑膜炎。

Bacterial meningitis following spinal anaesthesia for caesarean section.

作者信息

Lee J J, Parry H

机构信息

Department of Anaesthesia, Watford General Hospital, Herts.

出版信息

Br J Anaesth. 1991 Mar;66(3):383-6. doi: 10.1093/bja/66.3.383.

DOI:10.1093/bja/66.3.383
PMID:2015156
Abstract

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.

摘要

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。

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引用本文的文献

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Aseptic meningitis following a bupivacaine spinal anesthesia.布比卡因脊髓麻醉后发生的无菌性脑膜炎。
Pan Afr Med J. 2017 Jul 13;27:192. doi: 10.11604/pamj.2017.27.192.9327. eCollection 2017.
2
[Meningitis after spinal anesthesia].[脊髓麻醉后脑膜炎]
Pan Afr Med J. 2016 Jun 10;24:139. doi: 10.11604/pamj.2016.24.139.8390. eCollection 2016.
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Postpartum spinal subdural hematoma: irrelevant epidural blood patch: a case report.产后脊髓硬膜下血肿:无关的硬膜外血补丁:一例报告
Korean J Anesthesiol. 2016 Apr;69(2):189-92. doi: 10.4097/kjae.2016.69.2.189. Epub 2016 Mar 30.
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[Intracerebral hemorrhage after cesarean section under spinal anesthesia. Coincidence or causality?].[脊髓麻醉下剖宫产术后脑出血。是巧合还是因果关系?]
Anaesthesist. 2004 Jan;53(1):41-4. doi: 10.1007/s00101-003-0585-9.
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Adverse effects and drug interactions associated with local and regional anaesthesia.与局部和区域麻醉相关的不良反应及药物相互作用。
Drug Saf. 1998 Apr;18(4):221-50. doi: 10.2165/00002018-199818040-00001.
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Meningitis following a combined spinal-epidural technique in a labouring term parturient.
Can J Anaesth. 1996 Apr;43(4):399-402. doi: 10.1007/BF03011721.
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Spinal anaesthesia in obstetrics.产科脊髓麻醉
Can J Anaesth. 1995 Dec;42(12):1145-63. doi: 10.1007/BF03015105.