Department of Anesthesiology and Pain Therapy, Bern University Hospital and University of Bern, CH-3010 Bern, Switzerland.
Department of Neurology, Bern University Hospital and University of Bern, CH-3010 Bern, Switzerland.
J Clin Anesth. 2013 Aug;25(5):409-412. doi: 10.1016/j.jclinane.2013.01.017. Epub 2013 Aug 17.
A 78 year old man with tetraparesis, reduced forced vital capacity, and neurogenic bladder dysfunction due to Guillain-Barré syndrome was admitted for elective transurethral prostate resection and percutaneous lithotripsy of a bladder stone. On the sixth postoperative day, he was readmitted for emergency evacuation of a clot in the bladder. Both operations were performed with spinal anesthesia (hyperbaric bupivacaine + fentanyl) without neurologic sequelae.
一位 78 岁男性，因吉兰-巴雷综合征导致四肢瘫痪、用力肺活量降低和神经性膀胱功能障碍，入院接受择期经尿道前列腺切除术和经皮膀胱结石碎石术。术后第 6 天，因膀胱内血块紧急入院。两次手术均采用脊髓麻醉（重比重布比卡因+芬太尼）进行，无神经后遗症。
