血友病患者脊柱硬膜外血肿的保守治疗

Conservative management of spinal epidural hematoma in hemophilia.

作者信息

Narawong D, Gibbons V P, McLaughlin J R, Bouhasin J D, Kotagal S

机构信息

Department of Neurology, St. Louis University School of Medicine, Missouri.

出版信息

Pediatr Neurol. 1988 May-Jun;4(3):169-71. doi: 10.1016/0887-8994(88)90006-9.

DOI:10.1016/0887-8994(88)90006-9

PMID:3149480

Abstract

Two patients with hemophilia and spinal epidural hematoma, who were treated successfully with serial Factor VIII infusions, are reported. This form of conservative therapy may circumvent the need for decompressive laminectomy and its attendant complications in instances in which the neurologic deficit is mild or stable. Somatosensory evoked potential studies were useful in documenting spinal cord dysfunction in 1 of the 2 patients.

摘要

报告了两名患有血友病和脊髓硬膜外血肿的患者，他们通过连续输注凝血因子 VIII 成功得到治疗。在神经功能缺损较轻或稳定的情况下，这种保守治疗方式可避免进行减压性椎板切除术及其相关并发症。体感诱发电位研究有助于记录两名患者中一名患者的脊髓功能障碍。