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成功处理断裂的硬膜外导管！！！

Successful management of a broken epidural catheter!!!

作者信息

Hippalgaonkar Amruta Vinod, Kudalkar Amala G, Gaikwad Smita M, Modak Shailendra, Gupta Hema B, Tendolkar Bharati A

机构信息

Department of Anaesthesiology, LTMMC and LTMGH, Sion, Mumbai, Maharashtra, India.

出版信息

Saudi J Anaesth. 2017 Apr-Jun;11(2):228-231. doi: 10.4103/1658-354X.203029.

DOI:10.4103/1658-354X.203029
PMID:28442966
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5389246/
Abstract

Breakage of epidural catheter though rare is a well-known but worrisome complication. Visualization of retained catheter is difficult even with modern radiological imaging techniques, and active surgical intervention might be necessary for removal of catheter fragment. We report such a case of breakage of an epidural catheter during its removal which led to surgical intervention.

摘要

硬膜外导管断裂虽罕见，但却是一种广为人知且令人担忧的并发症。即便使用现代放射成像技术，也很难看到残留的导管，可能需要积极的手术干预来取出导管碎片。我们报告了这样一例在硬膜外导管拔除过程中发生断裂并导致手术干预的病例。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8957/5389246/a5200370d268/SJA-11-228-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8957/5389246/ead893349142/SJA-11-228-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8957/5389246/eb902399f17d/SJA-11-228-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8957/5389246/b8cc73929969/SJA-11-228-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8957/5389246/a5200370d268/SJA-11-228-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8957/5389246/ead893349142/SJA-11-228-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8957/5389246/eb902399f17d/SJA-11-228-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8957/5389246/b8cc73929969/SJA-11-228-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8957/5389246/a5200370d268/SJA-11-228-g004.jpg

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本文引用的文献

1
Breakage of a thoracic epidural catheter during its removal -A case report-.在拔除胸腔硬膜外导管时发生断裂 - 病例报告 - 。
Korean J Anesthesiol. 2010 Jun;58(6):569-72. doi: 10.4097/kjae.2010.58.6.569. Epub 2010 Jun 23.
2
Breakage of epidural catheters: etiology, prevention, and management.硬膜外导管断裂：病因、预防与处理
Rev Bras Anestesiol. 2008 May-Jun;58(3):227-33. doi: 10.1590/s0034-70942008000300005.
3
Management of the sheared epidural catheter: is surgical extraction really necessary?剪断硬膜外导管的处理：真的需要手术取出吗？
区域麻醉和疼痛干预后的神经功能缺损：审视当前的护理标准
Pain Ther. 2025 Jun;14(3):817-839. doi: 10.1007/s40122-025-00726-6. Epub 2025 Mar 27.
4
Can the preuse check of epidural set detect all manufacturing defects?硬膜外套件的使用前检查能检测出所有生产缺陷吗？
J Anaesthesiol Clin Pharmacol. 2024 Apr-Jun;40(2):351-352. doi: 10.4103/joacp.joacp_389_22. Epub 2024 May 16.
5
Rare Image of Epidural Catheter Fracture in Lumbar Analgesia.腰椎镇痛中硬膜外导管断裂的罕见影像
Case Rep Anesthesiol. 2023 Aug 28;2023:8880024. doi: 10.1155/2023/8880024. eCollection 2023.
6
Incidental unintentional breakage of epidural catheter in supralaminar area: A case report.硬膜外导管在椎板上区域意外无意断裂：一例报告。
Surg Neurol Int. 2021 Mar 30;12:129. doi: 10.25259/SNI_745_2020. eCollection 2021.
J Clin Anesth. 2007 Jun;19(4):310-4. doi: 10.1016/j.jclinane.2006.11.005.
4
Knotting of an epidural catheter: a rare complication.硬膜外导管打结：一种罕见的并发症。
Acta Anaesthesiol Belg. 2007;58(1):55-7.
5
Epidural catheter breakage: a possible mechanism.硬膜外导管断裂：一种可能的机制。
Int J Obstet Anesth. 2000 Apr;9(2):87-93. doi: 10.1054/ijoa.1999.0354.