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本文引用的文献

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Transient neurologic syndrome after spinal anesthesia with epidural steroid treatment.硬膜外类固醇治疗后脊髓麻醉所致短暂性神经综合征。
Curr Ther Res Clin Exp. 2009 Aug;70(4):316-22. doi: 10.1016/j.curtheres.2009.08.002.
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Clinical Outcomes of Spontaneous Spinal Epidural Hematoma : A Comparative Study between Conservative and Surgical Treatment.自发性脊髓硬膜外血肿的临床结局：保守治疗与手术治疗的比较研究
J Korean Neurosurg Soc. 2012 Dec;52(6):523-7. doi: 10.3340/jkns.2012.52.6.523. Epub 2012 Dec 31.
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Complications and controversies of regional anaesthesia: a review.区域麻醉的并发症与争议：综述
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[Conservative treatment of hematoma after spinal anesthesia: case report and literature review.].[脊髓麻醉后血肿的保守治疗：病例报告与文献综述。]
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Cauda equina syndrome and profound hearing loss after spinal anesthesia with isobaric bupivacaine.等比重布比卡因脊麻后出现马尾综合征和严重听力丧失。
Anesth Analg. 2006 Jun;102(6):1863-4. doi: 10.1213/01.ane.0000216037.69269.60.
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[Spinal cord compression caused by hematoma related to neuroaxial anesthesia in Spain].[西班牙与神经轴麻相关的血肿所致脊髓压迫]
Rev Esp Anestesiol Reanim. 2003 Dec;50(10):504-9.
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The hypercoagulable state in thalassemia.地中海贫血中的高凝状态。
Blood. 2002 Jan 1;99(1):36-43. doi: 10.1182/blood.v99.1.36.
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Magnetic resonance imaging-monitored conservative management of traumatic spinal epidural hematomas. Report of four cases.磁共振成像监测下创伤性脊髓硬膜外血肿的保守治疗。4例报告。
J Neurosurg. 1999 Jul;91(1 Suppl):128-32. doi: 10.3171/spi.1999.91.1.0128.
9
Surgical management of spinal epidural hematoma: relationship between surgical timing and neurological outcome.脊柱硬膜外血肿的手术治疗：手术时机与神经功能预后的关系
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未被怀疑患有凝血病的患者蛛网膜下腔阻滞术后神经并发症病例

Case of Neurological Complication Following Subarachnoid Block in a Patient with Unsuspected Coagulopathy.

作者信息

Mathur Arun, Nagappa C Venkatesh

机构信息

Department of Anaesthesia and Critical Care, Kannur Medical College, Kannur, Kerala, India.

出版信息

Anesth Essays Res. 2017 Jan-Mar;11(1):260-262. doi: 10.4103/0259-1162.194563.

DOI:10.4103/0259-1162.194563
PMID:28298799
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5341648/
Abstract

Subarachnoid block (SAB) is an extensively used regional anesthesia technique for many surgeries. Neurological complications are rare following spinal anesthesia. We are reporting neurological complication in a patient the following appendectomy under SAB with unsuspected coagulopathy. The complication was noticed early and managed conservatively with a high dose of intravenous steroid and improved drastically in a short period.

摘要

蛛网膜下腔阻滞（SAB）是一种广泛应用于多种手术的区域麻醉技术。脊髓麻醉后神经并发症罕见。我们报告了一例在蛛网膜下腔阻滞下行阑尾切除术后出现神经并发症的患者，该患者存在未被怀疑的凝血功能障碍。该并发症发现较早，采用大剂量静脉注射类固醇进行保守治疗，短期内病情大幅改善。