一名患有镰状细胞病的儿童在进行胸段硬膜外麻醉后发生脊髓硬膜外血肿。
Spinal epidural hematoma following a thoracic epidural in a child with sickle cell disease.
作者信息
Sathyamoorthy Madhankumar, Walker Benjamin, Rhodes Melissa M, Eriator Ike
机构信息
Department of Anesthesiology University of Mississippi Medical Center Jackson Mississippi 39216 USA.
Department of Anesthesiology University of Wisconsin School of Medicine and Public Health American Family Children's Hospital Madison Wisconsin 53792 USA.
出版信息
Clin Case Rep. 2017 May 31;5(7):1115-1118. doi: 10.1002/ccr3.1016. eCollection 2017 Jul.
Acute liver dysfunction in the perioperative period may increase the risk of epidural hematoma in a patient with a neuraxial catheter. Coagulation testing needs to be carefully monitored in these patients. An epidural hematoma should be ruled out urgently by CT or MRI in cases of a persistent motor block.
围手术期急性肝功能障碍可能会增加接受神经轴索导管置入患者发生硬膜外血肿的风险。对于这些患者，需要仔细监测凝血功能检测。在出现持续性运动阻滞的情况下，应通过CT或MRI紧急排除硬膜外血肿。
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