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纹身与硬膜外镇痛:一个神话的兴衰

Tattoo and epidural analgesia: Rise and fall of a myth.

作者信息

Kluger Nicolas, Sleth Jean-Christian

机构信息

University of Helsinki and Helsinki University Central Hospital, Department of Dermatology, Allergology and Venereology, Helsinki, Finland; Hôpital Bichat - Claude-Bernard, Consultation « tatouage », service de dermatologie, Paris, France.

Polyclinique Saint-Roch, 560, avenue du Colonel André-Pavelet, 34075 Montpellier cedex 3, France.

出版信息

Presse Med. 2020 Dec;49(4):104050. doi: 10.1016/j.lpm.2020.104050. Epub 2020 Aug 5.

Abstract

Since 2002, it has been unclear whether epidural analgesia (EA) could safe through a lower back tattoo. Theoretical risks of pigment tissue coring have led to precautionary measures and misconception that EA should be excluded. We reviewed chronologically the 18 years of medical literature summarizing the so-called risks of EA through lower back tattoo in parturient women. To date, no convincing complication has been ever reported after an EA through a tattoo. We hope this review will bring a closure to a 18-year-old "non-issue" that has poisoned and stressed unnecessarily a generation of parturient.

摘要

自2002年以来,硬膜外镇痛(EA)能否安全用于有下背部纹身的产妇一直不明确。色素组织穿孔的理论风险导致了预防措施以及认为应排除EA的误解。我们按时间顺序回顾了18年的医学文献,总结了产妇下背部纹身进行EA的所谓风险。迄今为止,尚无关于纹身部位进行EA后出现令人信服的并发症的报道。我们希望这篇综述能为一个困扰并无端给一代产妇带来压力达18年之久的“非问题”画上句号。

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