North J B, Brophy B P
Aust N Z J Surg. 1979 Aug;49(4):484-5. doi: 10.1111/j.1445-2197.1979.tb05847.x.
Two cases of spinal epidural abscess following prolonged epidural anaesthesia are presented. The clinical features included fever, malaise, and signs of nerve root compression; backache was not marked. Prompt surgical drainage and appropriate antibiotics are required to avoid the costly sequelae of bladder and leg paralysis from spinal cord compression. Both infections were caused by bacterial contamination of catheter, and although this complication is uncommon, it emphasizes that strict asepsis is essential during continuous epidural anaesthesia.
本文报告了2例长时间硬膜外麻醉后发生的脊髓硬膜外脓肿病例。临床特征包括发热、不适以及神经根受压体征；背痛并不明显。需要及时进行手术引流并使用适当的抗生素，以避免因脊髓受压导致膀胱和腿部麻痹等代价高昂的后遗症。这两例感染均由导管细菌污染引起，尽管这种并发症并不常见，但它强调了在连续硬膜外麻醉期间严格无菌操作至关重要。
