The Department of Neurosurgery, Royal Melbourne Hospital, Grattan Street, Parkville, Victoria 3050, Australia.
J Clin Neurosci. 2011 Dec;18(12):1713-5. doi: 10.1016/j.jocn.2011.03.016. Epub 2011 Sep 25.
Haematoma in the spinal canal may be catastrophic if the condition is not detected and treated early. In the enclosed spinal canal, even a small space-occupying lesion may be rapidly symptomatic. Clinical presentation ranges from benign back pain to severe neurological deficits, the nature of which depends on the level of compression (cauda equina or spinal cord). Despite surgical decompression and extended rehabilitation, many patients suffer permanent disability. Aspirin use prior to neuraxial block is not generally contraindicated in the literature but we would recommend withholding the anticoagulant, if safe, or considering an alternative form of anaesthesia.
椎管内血肿如果不能早期发现和治疗可能是灾难性的。在封闭的椎管内，即使是很小的占位性病变也可能很快出现症状。临床表现从良性背痛到严重的神经功能缺损不等，其性质取决于受压的部位（马尾或脊髓）。尽管进行了手术减压和长期康复，许多患者仍留有永久性残疾。文献中一般不禁止在神经轴阻滞前使用阿司匹林，但如果安全的话，我们建议停用抗凝剂，或考虑其他形式的麻醉。
