Arch Gynecol Obstet. 2011 Dec;284(6):1597-8. doi: 10.1007/s00404-011-2070-z. Epub 2011 Aug 26.
CSF leak after epidural anaesthesia should be suspected after persistent headaches, which are worse on standing, suggestive of low pressure and CSF overdrainage. Subdural haemorrhage after CSF leak is a recognised complication; if suspected a CT Brain should be performed. An epidural blood-patch, and if necessary haematoma evacuation, can help prevent an unfortunate and tragic outcome.
硬膜外麻醉后出现脑脊液漏应怀疑持续性头痛,站立时加重,提示为低压和脑脊液过度引流。脑脊液漏后硬脑膜下血肿是一种公认的并发症;如果怀疑,应进行脑 CT 检查。硬膜外血补丁,如果有必要,血肿清除术,可以帮助防止不幸和悲惨的结局。