Lenelle L, Lahaye-Goffart B, Dewandre P Y, Brichant J F
Département d'Anesthésie-Réanimation, C.H.U. de Liège, Belgique.
Rev Med Liege. 2011 Nov;66(11):575-80.
Post-dural puncture headache (PDPH) is a common iatrogenic and incapacitating complication. Dural puncture can be intentional (spinal block, myelography,...) or accidental (epidural block). Risk factors are well described and the obstetric patient is at high risk for PDPH. The treatment of PDPH is not standardised. Many options have been proposed, but only the epidural blood patch has apparent benefits. A few measures have been suggested to prevent PDPH after unintentional dural puncture, but none has been shown to work with certainty.
硬膜穿刺后头痛（PDPH）是一种常见的医源性致残并发症。硬膜穿刺可以是有意的（脊髓阻滞、脊髓造影等）或意外的（硬膜外阻滞）。危险因素已得到充分描述，产科患者发生PDPH的风险很高。PDPH的治疗尚无标准化方案。已经提出了许多治疗选择，但只有硬膜外血贴有明显疗效。有人提出了一些措施来预防意外硬膜穿刺后发生PDPH，但尚无一项措施被证实肯定有效。
