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.
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。
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