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因包茎而行包皮环切术,在脊髓麻醉后发生术后硬膜外脓肿。

Postoperative epidural abscess after spinal anaesthesia for a circumcision necessitated by phimosis.

作者信息

Pouwels Sjaak, Coll Darryl M, van Marle Alexander G J

机构信息

Department of Surgery, Franciscus Vlietland, Schiedam.

Department of Surgery, Franciscus Gasthuis, Rotterdam.

出版信息

BMJ Case Rep. 2018 Feb 23;2018:bcr-2017-223136. doi: 10.1136/bcr-2017-223136.

Abstract

A 70-year-old man was admitted to our hospital for a penile circumcision due to phimosis using continuous dose spinal anaesthesia. On postoperative day 10 he came to the emergency department with a superficial abscess localised at the injection site of the spinal catheter. He was treated with intravenous antibiotics for 10 days, and the superficial abscess was incised and drained. Ten days later, the patient was readmitted to the emergency department with complaints of back pain and fever. A repeat MRI scan of his lumbar sacral area was done and showed epidural abscesses without any compression of the medulla or the myelum. The patient did not have any signs of spinal cord or nerve root compression at that time. He was treated with intravenous antibiotics with resolution of symptoms.

摘要

一名70岁男性因包茎需行阴茎环切术,采用连续剂量脊髓麻醉入院。术后第10天,他因脊髓导管注射部位出现浅表脓肿来到急诊科。给予静脉抗生素治疗10天,并对浅表脓肿进行切开引流。10天后,患者因背痛和发热再次入住急诊科。对其腰骶部进行了重复MRI扫描,结果显示硬膜外脓肿,未对脊髓或髓质造成任何压迫。当时患者没有脊髓或神经根受压的任何体征。给予静脉抗生素治疗后症状缓解。

相似文献

9
[Epidural spinal abscess].[硬膜外脊髓脓肿]
Harefuah. 1999 Jan 15;136(2):120-2, 174.

本文引用的文献

3
Magnetic resonance imaging and the nonoperative treatment of spinal epidural abscess.
Surg Neurol. 1990 Dec;34(6):408-13. doi: 10.1016/0090-3019(90)90245-k.
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Spinal epidural abscess.脊髓硬膜外脓肿
N Engl J Med. 1975 Sep 4;293(10):463-8. doi: 10.1056/NEJM197509042931001.
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Epidural abscess: a hazard of spinal epidural anaesthesia.硬膜外脓肿:脊髓硬膜外麻醉的一种风险。
Aust N Z J Surg. 1979 Aug;49(4):484-5. doi: 10.1111/j.1445-2197.1979.tb05847.x.

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