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[脊髓麻醉的罕见严重并发症:细菌性脑膜炎(附1例报告及文献复习)]

[Rare and severe complication of spinal anesthesia: bacterial meningitis (about a case and literature review)].

作者信息

Chouaib Naoufal, Jidane Said, Rafai Mostafa, Belkouch Ahmed, Zidouh Saad, Belyamani Lahcen

机构信息

Service des Urgences Médico-Chirurgicales, Hôpital Militaire Mohamed V, Faculté de Médecine et de Pharmacie, Rabat, Maroc.

出版信息

Pan Afr Med J. 2017 Jun 30;27:158. doi: 10.11604/pamj.2017.27.158.12348. eCollection 2017.

Abstract

Spinal anesthesia (SA) is the first locoregional anesthesia. It can cause side effects and carry risks that need to be avoided, prevented or treated early. We here report the case of a female patient operated under spinal anesthesia who had intense headache associated with nausea and vomiting evolving in the context of fever within a few days after surgeryLumbar puncture showed cloudy liquid revealing Gram + cocci on direct examination. This allowed the diagnosis of bacterial meningitis. Patient's evolution was favorable after antibiotic therapy.

摘要

脊髓麻醉(SA)是最早的局部区域麻醉方法。它会引起副作用并带来一些需要避免、预防或尽早治疗的风险。我们在此报告一例在脊髓麻醉下接受手术的女性患者的病例,该患者在术后几天内出现伴有恶心和呕吐的剧烈头痛,并在发热的情况下病情进展。腰椎穿刺显示液体浑浊,直接检查发现革兰氏阳性球菌。这得以诊断为细菌性脑膜炎。经抗生素治疗后患者病情好转。

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本文引用的文献

2
Nosocomial infections and infection control in regional anesthesia.区域麻醉中的医院感染与感染控制
Acta Anaesthesiol Scand. 2008 Sep;52(8):1144-57. doi: 10.1111/j.1399-6576.2008.01712.x.
4
Post-dural puncture bacterial meningitis.硬膜穿刺后细菌性脑膜炎
Anesthesiology. 2006 Aug;105(2):381-93. doi: 10.1097/00000542-200608000-00022.
6
[Streptococcus B meningitis after peridural obstetric anesthesia].硬膜外产科麻醉后B族链球菌脑膜炎
Ann Fr Anesth Reanim. 1998;17(2):195-6. doi: 10.1016/s0750-7658(98)80075-0.

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