Schulze H A
Psychiatr Neurol Med Psychol (Leipz). 1979 Oct;31(10):578-88.
A survey is given of the most important findings in respect of iatrogenic damage to the nervous system on the basis of published reports and the author's own findings, taking special account of lumbar puncture and suboccipital puncture, myelography, contrast-medium encephalography, ventriculography and cerebral angiography. The possibility of damage such as the danger of embolism in diagnostic and therapeutic vascular puncture is referred to. Among the lesions caused in the course of therapy, the side-effects of treatment with drugs, effects of radiation, effects resulting from anesthesia, sequelae of neural therapy and of manual manipulations, sequelae of operations, and postvaccinal encephalopathies are discussed. The necessity of systematic morphological examinations for exact assessment of ioatrogenic lesions is stressed. Iatrogenic damage due to neglect of diagnostic and therapeutic measures is also considered.
根据已发表的报告和作者自己的研究结果，对神经系统医源性损伤的最重要发现进行了综述，特别考虑了腰椎穿刺和枕下穿刺、脊髓造影、造影剂脑造影、脑室造影和脑血管造影。文中提到了诊断性和治疗性血管穿刺中诸如栓塞危险等损伤的可能性。在治疗过程中引起的病变中，讨论了药物治疗的副作用、辐射影响、麻醉效果、神经治疗和手法操作的后遗症、手术后遗症以及疫苗接种后脑病。强调了进行系统形态学检查以准确评估医源性损伤的必要性。还考虑了因忽视诊断和治疗措施而导致的医源性损伤。
