Fedriani de Matos J J, Quintero Salvago A V, Gómez Cortés M D
Servicio de Anestesiología y Reanimación, Hospital de Especialidades de Jerez de la Frontera, Jerez de la Frontera, Cádiz, España.
Servicio de Anestesiología y Reanimación, Hospital de Especialidades de Jerez de la Frontera, Jerez de la Frontera, Cádiz, España.
Rev Esp Anestesiol Reanim. 2017 Oct;64(8):476-478. doi: 10.1016/j.redar.2017.02.007. Epub 2017 Mar 29.
Cutaneous fistula of cerebrospinal fluid is a rare complication of neuroaxial blockade. We report the case of a parturient in whom an epidural catheter was placed for labour analgesia and 12h after the catheter was removed, presented an abundant asymptomatic fluid leak from the puncture site, compatible in the cyto-chemical analysis with cerebrospinal fluid. She was treated with acetazolamide, compression of skin orifice of the fluid leakage, antibiotic prophylaxis, hydration and rest, and progressed satisfactorily without requiring blood patch.
脑脊液皮肤瘘是神经轴阻滞的一种罕见并发症。我们报告一例产妇，其为分娩镇痛放置了硬膜外导管，在导管拔除12小时后，穿刺部位出现大量无症状的液体渗漏，细胞化学分析结果与脑脊液相符。她接受了乙酰唑胺治疗、对液体渗漏的皮肤开口处进行压迫、抗生素预防、补液及休息，病情进展顺利，无需进行血补丁治疗。
