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硬膜穿刺后头痛。年轻患者中26号和29号针头的比较。

Postdural puncture headache. A comparison between 26- and 29-gauge needles in young patients.

作者信息

Flaatten H, Rodt S A, Vamnes J, Rosland J, Wisborg T, Koller M E

机构信息

Department of Anaesthesiology, Central Hospital, Førde, Norway.

出版信息

Anaesthesia. 1989 Feb;44(2):147-9. doi: 10.1111/j.1365-2044.1989.tb11167.x.

DOI:10.1111/j.1365-2044.1989.tb11167.x
PMID:2929939
Abstract

The incidence of postdural puncture headache after spinal anaesthesia with two types of 26- and 29-gauge needles was investigated in 149 patients less than 30 years old. Ten patients, (6.7%), six men and four women, developed typical symptoms of postdural puncture headache, while six (4.0%) developed headache of other origin. There were no headaches in the 29-gauge group. Spinal anaesthesia in four patients (8%) was impossible to perform with the 29-gauge needle. By using the latter, spinal anaesthesia can be given to young adults with little risk of postdural puncture headache.

摘要

在149名30岁以下的患者中,研究了使用两种26号和29号针头进行脊髓麻醉后发生硬膜穿刺后头痛的发生率。10名患者(6.7%),6名男性和4名女性,出现了典型的硬膜穿刺后头痛症状,而6名患者(4.0%)出现了其他原因引起的头痛。29号针头组没有出现头痛情况。4名患者(8%)使用29号针头无法进行脊髓麻醉。使用29号针头,可对年轻成年人进行脊髓麻醉,且发生硬膜穿刺后头痛的风险很小。

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