Adachi Eriko, Mori Gakushi, Hashimoto Yuichi, Saito Tomoyuki, Okuda Keiko, Yoshida Shinji, Arai Takero, Okuda Yasuhisa
Department of Anesthesiology, Dokkyo Medical University, Koshigaya Hospital, Koshigaya 343-8555.
Masui. 2013 Aug;62(8):965-7.
Spinal anesthesia was attempted in a 21-year-old woman for acute cesarean section with lumbar puncture at L3-4 and L4-5 in another hospital, but it was abandoned after more than 10 attempts because no cerebrospinal fluid (CSF) was seen flowing. She was transferred to our hospital, and we attempted spinal anesthesia at L2-3 and CSF was seen flowing. Although 0.5% hyperbaric bupivacaine 2.0ml was injected, the anesthetic effect was insufficient. At this point we injected 0.5% hyperbaric bupivacaine 1.5 ml in the same space and she developed sensory block up to T3. Surgery proceeded uneventfully. There were no postoperative neurological complications related to spinal anesthesia.
在另一家医院，一名21岁的女性因急性剖宫产术接受脊髓麻醉，在L3 - 4和L4 - 5进行腰椎穿刺，但经过10多次尝试后放弃，因为未见脑脊液流出。她被转到我院，我们在L2 - 3进行脊髓麻醉，见到脑脊液流出。尽管注入了2.0毫升0.5%的高压布比卡因，但麻醉效果不佳。此时，我们在同一间隙注入了1.5毫升0.5%的高压布比卡因，她出现了高达T3的感觉阻滞。手术顺利进行。没有与脊髓麻醉相关的术后神经并发症。
