Jacobsen J
Ugeskr Laeger. 1989 Sep 11;151(37):2366-8.
During a period of one year in which 609 spinal anaesthetics were performed, seven men and eight women complained of post lumbar puncture headache (PLPH). This form of headache was most frequently localized to the forehead and neck. The maximal intensities of the PLPH were assessed as "7-8" on a 10 cm visual analogous scale. All of these patients were treated with autologous epidural blood patch (AEBP). A mean volume of 17.8 ml autologous blood (range 10-20 ml) was injected into the epidural space. The injection was stopped as soon as low back pain occurred. The effect of AEBP occurred after a latent period with an average of two hours (range 0.5-6 hours). The effects of AEBP were indicated on a five-point ad hoc scale as "complete" or "nearly complete" in 13 out of 15 patients. Relapse occurred in one patient. No significant adverse effects were observed. AEBP is thus considered as a safe and effective form of treatment of PLPH.
在进行609例脊髓麻醉的一年期间，7名男性和8名女性抱怨发生了腰穿后头痛（PLPH）。这种头痛形式最常出现在前额和颈部。根据10厘米视觉模拟量表，PLPH的最大强度被评估为“7 - 8”。所有这些患者均接受了自体硬膜外血贴（AEBP）治疗。平均向硬膜外腔注入17.8毫升自体血（范围为10 - 20毫升）。一旦出现腰痛就停止注射。AEBP的效果在平均两小时的潜伏期后出现（范围为0.5 - 6小时）。在15名患者中的13名中，AEBP的效果根据一个临时的五点量表显示为“完全”或“几乎完全”。有一名患者复发。未观察到明显的不良反应。因此，AEBP被认为是治疗PLPH的一种安全有效的方法。
