降胸主动脉置换术中血性脑脊液 - 病例报告 -。
Bloody cerebrospinal fluid during replacement of descending thoracic aorta -A case report-.
机构信息
Department of Anesthesiology and Pain Medicine, Asan Medical Center, College of Medicine, University of Ulsan, Seoul, Korea.
出版信息
Korean J Anesthesiol. 2010 Dec;59 Suppl(Suppl):S107-9. doi: 10.4097/kjae.2010.59.S.S107. Epub 2010 Dec 31.
Abstract
Cerebrospinal fluid (CSF) drainage is a routinely used adjunct to thoracoabdominal aortic surgery which may reduce the incidence of preoperative paraplegia by improving spinal cord perfusion. However, this procedure infrequently causes complications. Bloody or bloody-tinged CSF may be associated with intracranial or spinal hematoma. We present herein a case of bloody CSF during the replacement of the descending thoracic aorta.
摘要
脑脊液（CSF）引流是胸腹主动脉手术的常规辅助手段，通过改善脊髓灌注，可降低术前截瘫的发生率。然而，该操作很少引起并发症。血性或血水样 CSF 可能与颅内或脊髓血肿有关。本文报告了 1 例在胸降主动脉置换过程中出现血性 CSF 的病例。
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本文引用的文献
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Cerebrospinal fluid drainage during thoracic aortic repair: safety and current management.胸主动脉修复术中的脑脊液引流：安全性与当前管理
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Complications of spinal fluid drainage in thoracoabdominal aortic aneurysm repair: a report of 486 patients treated from 1987 to 2008.胸腹主动脉瘤修复术中脑脊液引流的并发症：1987年至2008年486例患者的报告
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Complications of cerebrospinal fluid drainage in thoracoabdominal aortic aneurysm repair.胸腹主动脉瘤修复术中脑脊液引流的并发症
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Intracerebellar hematoma following thoracoabdominal aortic repair: an unreported complication of cerebrospinal fluid drainage.胸腹主动脉修复术后小脑内血肿：脑脊液引流的一种未报道的并发症
Eur J Cardiothorac Surg. 2003 Oct;24(4):659-61. doi: 10.1016/s1010-7940(03)00446-9.
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Subdural hematoma after thoracoabdominal aortic aneurysm repair: an underreported complication of spinal fluid drainage?胸腹主动脉瘤修复术后硬脑膜下血肿：脑脊液引流的一种未被充分报道的并发症？
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Complications of lumbar drainage after thoracoabdominal aortic aneurysm repair.胸腹主动脉瘤修复术后腰大池引流的并发症
J Vasc Surg. 2001 Oct;34(4):623-7. doi: 10.1067/mva.2001.117334.
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Anesthesiology. 2000 Oct;93(4):1115-22. doi: 10.1097/00000542-200010000-00037.
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Experience with 1509 patients undergoing thoracoabdominal aortic operations.1509例接受胸腹主动脉手术患者的经验。
J Vasc Surg. 1993 Feb;17(2):357-68; discussion 368-70.
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