Haruna Junichi, Yamanaka Hidenori, Tachibana Kazuya, Takeuchi Muneyuki, Tanaka Yayoi, Matsunari Yasunori, Nishimura Nobuyuki, Kinouchi Keiko
Department of Anesthesiology, Aichi Children's Health and Medical Center, Ohbu 474-8710.
Masui. 2010 Oct;59(10):1273-5.
A case was presented of a 5-year-old girl who suffered an accidental dural puncture during placement of an epidural catheter under general anesthesia for orthopedic surgery. She complained of headache 4 days after the operation, which was relieved on supine position but became worse on sitting position. Her symptoms failed to respond to conservative management. An epidural blood patch was performed under general anesthesia and completely resolved her symptoms. The reported incidence of epidural blood patch for post dural puncture headache following accidental dural puncture in children is low. We outline this case and the consideration for management for epidural blood patch in pediatric patients.
本文报告了一例5岁女童的病例,该女童在全身麻醉下进行骨科手术时放置硬膜外导管过程中发生意外硬膜穿刺。术后4天她出现头痛,仰卧位时缓解,但坐位时加重。她的症状对保守治疗无效。在全身麻醉下进行了硬膜外血贴,症状完全缓解。儿童意外硬膜穿刺后硬膜外血贴治疗硬膜穿刺后头痛的报道发生率较低。我们概述了该病例以及小儿患者硬膜外血贴治疗的考虑因素。