骶管硬膜外腔和小关节注射后的医源性肾上腺抑制
Iatrogenic adrenal suppression following caudal epidural and facet joint injection.
作者信息
Jani Priyanka, Morley Hannah Louise, Shetty Nitin
机构信息
Trauma and Orthopaedic Surgery, Whittington Health NHS Trust, London.
Trauma and Orthopaedic Surgery, West Hertfordshire NHS Foundation Trust, Watford.
出版信息
BMJ Case Rep. 2019 Feb 21;12(2):e225828. doi: 10.1136/bcr-2018-225828.
Abstract
Caudal epidural injections and facet joint injections using steroids and local anaesthetic are widely used methods of pain control in patients suffering from radicular leg pain. In the vast majority of cases this is low risk. We present an interesting case of a patient who suffered from symptomatic adrenal suppression following a caudal epidural injection, and thus wish to draw this rare but significant complication to the attention of orthopaedic practitioners.
摘要
使用类固醇和局部麻醉剂进行骶管硬膜外注射和小关节注射是治疗神经根性腿痛患者疼痛的常用方法。在绝大多数情况下，这种方法风险较低。我们报告了一例有趣的病例，一名患者在骶管硬膜外注射后出现了有症状的肾上腺抑制，因此希望引起骨科医生对这种罕见但重要并发症的关注。
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