Beyaz Serbülent Gökhan, Altaş Cafer, Sayhan Havva
Department of Anesthesiology and Pain Medicine, Faculty of Medicine, Sakarya University, Sakarya, Republic of Turkey.
Department of Anesthesiology and Pain Medicine, Sakarya University Training and Research Hospital, Sakarya, Republic of Turkey.
Anesth Essays Res. 2018 Jan-Mar;12(1):285-287. doi: 10.4103/aer.AER_142_17.
Pain treatment can comprise a combination of pharmacological, interventional, surgical, physical, psycological methods. Interventional procedures, particularly minimally invasive percutaneous therapies, have been widely used in recent years. Corticosteroid, hyperbaric saline or oxygen-ozone therapy is a safe procedure for patients in whom pain cannot be relieved by epidural adhesiolysis or other treatments. Complication related to oxygen-ozone therapy have been reported rarely in lumbar sciatalgia. Herein, we present a patient who developed cardiopulmonary arrest and pneumoencephaly as a rare but life-threatening complication of oxygen-ozone therapy, for epidural lysis, applied to the epidural space due to low back pain.
疼痛治疗可包括药物、介入、手术、物理和心理等多种方法的联合应用。近年来,介入手术,尤其是微创经皮治疗,已得到广泛应用。皮质类固醇、高压盐水或氧-臭氧疗法对于那些经硬膜外粘连松解术或其他治疗后疼痛仍无法缓解的患者而言是一种安全的治疗方法。与氧-臭氧疗法相关的并发症在腰椎坐骨神经痛患者中鲜有报道。在此,我们报告一例患者,该患者在因腰痛接受硬膜外松解的氧-臭氧治疗时,发生了心肺骤停和气脑这一罕见但危及生命的并发症。