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硬膜外血贴治疗硬膜穿刺后头痛的主观并发症及疗效

The subjective complications and efficiency of the epidural blood patch in the treatment of postdural puncture headache.

作者信息

Tarkkila P J, Miralles J A, Palomaki E A

机构信息

Department of Anesthesiology, Tampere University Hospital, Finland.

出版信息

Reg Anesth. 1989 Sep-Oct;14(5):247-50.

PMID:2486648
Abstract

The complications and efficacy of epidural blood patch were studied retrospectively by means of a questionnaire sent to 236 patients. Hospital records were also studied. One-hundred-ninety-six patients returned the questionnaire. No major complications were found. Epidural blood patch was found to be effective; 84.5% of the respondents had complete and permanent recovery from headache in less than 24 hours after a single epidural blood patch. Of those responding, 42.3% were willing to undergo spinal anesthesia in the future, when indicated, only if they could be assured of getting epidural blood patch in the event of a postdural puncture headache.

摘要

通过向236例患者发送调查问卷的方式,对硬膜外血贴的并发症及疗效进行了回顾性研究。同时也研究了医院记录。196例患者回复了调查问卷。未发现严重并发症。发现硬膜外血贴是有效的;84.5%的受访者在单次硬膜外血贴后不到24小时头痛就完全且永久缓解。在回复者中,42.3%表示如果未来有指征需要进行脊髓麻醉,只有在确保硬膜穿破后头痛发生时能接受硬膜外血贴的情况下,他们才愿意接受。

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J Headache Pain. 2017 Dec;18(1):4. doi: 10.1186/s10194-016-0708-8. Epub 2017 Jan 13.
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Emerg Radiol. 2004 Aug;11(1):56-9. doi: 10.1007/s10140-004-0365-0. Epub 2004 Jun 25.
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Exacerbation of post-dural puncture headache after epidural blood patch.硬膜外血贴后硬膜穿刺后头痛加重。
Can J Anaesth. 1994 Jul;41(7):628-31. doi: 10.1007/BF03010004.
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Extradural blood patch for post-lumbar puncture headaches in cancer patients.硬膜外血补丁治疗癌症患者腰椎穿刺后头痛
Can J Anaesth. 1992 Feb;39(2):203-4. doi: 10.1007/BF03008660.