婴儿脊髓麻醉后硬膜下血肿
Subdural haematoma following infant spinal anaesthesia.
作者信息
McDougall Robert J, Barnes Richard, Danks R Andrew, Ditchfield Michael
机构信息
Department of Paediatrics, University of Melbourne, Murdoch Childrens Research Institute, Melbourne, Australia.
Department of Anaesthesia and Pain Management, Royal Children's Hospital, Parkville, VIC, Australia.
出版信息
Childs Nerv Syst. 2016 Mar;32(3):579-81. doi: 10.1007/s00381-015-2862-8. Epub 2015 Aug 9.
INTRODUCTION
Subdural haematoma (SDH) is rare following spinal anaesthesia and has not been reported previously in an infant. Non-accidental injury is the commonest cause of subdural haematoma in infants.
METHODS
We describe two cases of SDH following spinal anaesthesia in infants.
RESULTS
In both cases, forensic investigation was commenced and no evidence of child abuse was found. Both children are well 2 years after diagnosis.
CONCLUSION
Paediatric health workers should be aware of the possibility of SDH after spinal anaesthesia and consider this as a differential diagnosis when investigating possible non-accidental injury in an infant.
引言
硬膜下血肿（SDH）在脊髓麻醉后较为罕见，此前未见婴儿发生的报道。非意外伤害是婴儿硬膜下血肿最常见的原因。
方法
我们描述了两例婴儿脊髓麻醉后发生硬膜下血肿的病例。
结果
两例均启动了法医调查，未发现虐待儿童的证据。两名患儿诊断后2年情况良好。
结论
儿科医护人员应意识到脊髓麻醉后发生硬膜下血肿的可能性，并在调查婴儿可能的非意外伤害时将其作为鉴别诊断考虑。
Zotero 插件