Hasegawa Hiroki, Sanefuji Yoichi, Kanda Tomoe, Kasai Hiroko
Hospital, Sapporo 062-8618 Division of Anesthesia, Hokkaido Social Insurance.
Masui. 2010 Oct;59(10):1254-6.
A 34-year-old woman suffering from post-spinal tinnitus for 8 years was scheduled for a cesarean section under epidural anesthesia selected to prevent a deterioration of this condition due to a possible decrease in the cerebrospinal fluid level. Unexpectedly, the tinnitus disappeared completely after the epidural injection of 2% lidocaine 27 ml and following continuous epidural infusion. It is conceivable that moderate quantities of local anesthetics into the epidural space might have acted as an effective method similar to that of epidural physiologic saline injection in order to improve the cerebrospinal pressure.
一名患有脊柱后耳鸣8年的34岁女性计划在硬膜外麻醉下进行剖宫产,选择硬膜外麻醉是为了防止因脑脊液水平可能下降而导致病情恶化。出乎意料的是,在硬膜外注射27毫升2%利多卡因并持续硬膜外输注后,耳鸣完全消失。可以想象,适量的局部麻醉药进入硬膜外腔可能起到了类似于硬膜外注射生理盐水的有效方法,以提高脑脊液压力。