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脊髓麻醉后脊髓硬膜外脓肿：常见手术的罕见并发症。

Spinal Epidural Abscess Post Spinal Anesthesia: An Uncommon Complication of a Common Procedure.

作者信息

Mallik Jeevesh, Motiani Vanita, Pai Manish Ganesh

机构信息

Department of Neurosurgery, Tata Main Hospital, Jamshedpur, Jharkhand, India.

Department of Internal Medicine, Ziauddin Medical University, Karachi, Pakistan.

出版信息

Asian J Neurosurg. 2020 Aug 28;15(3):730-732. doi: 10.4103/ajns.AJNS_154_20. eCollection 2020 Jul-Sep.

DOI:10.4103/ajns.AJNS_154_20
PMID:33145241
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7591180/
Abstract

Spinal epidural abscess (SEA) is a severe pyogenic infection of the epidural space. Bacteria gain access to the epidural space either by hematogenous spread, contiguous spread from a neighboring infected structure, or through iatrogenic inoculation. The diagnosis of SEA is a challenge, largely because of its rarity. We present here a case of SEA of iatrogenic origin (post spinal anesthesia), which we treated at Tata Main Hospital, Jamshedpur.

摘要

脊髓硬膜外脓肿（SEA）是硬膜外间隙的一种严重化脓性感染。细菌可通过血行播散、邻近感染结构的直接蔓延或医源性接种进入硬膜外间隙。SEA的诊断颇具挑战性，主要原因是其罕见性。我们在此介绍一例医源性起源（脊髓麻醉后）的SEA病例，该病例在贾姆谢德布尔的塔塔主医院接受了治疗。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/371e/7591180/e7c3c23c3bf8/AJNS-15-730-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/371e/7591180/e65482f25c66/AJNS-15-730-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/371e/7591180/a600d8c2cd9c/AJNS-15-730-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/371e/7591180/e7c3c23c3bf8/AJNS-15-730-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/371e/7591180/e65482f25c66/AJNS-15-730-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/371e/7591180/a600d8c2cd9c/AJNS-15-730-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/371e/7591180/e7c3c23c3bf8/AJNS-15-730-g003.jpg

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本文引用的文献

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Spinal Epidural Abscess: A Series of 101 Cases.脊柱硬膜外脓肿：101例病例系列
Am J Med. 2017 Dec;130(12):1458-1463. doi: 10.1016/j.amjmed.2017.07.017. Epub 2017 Aug 7.
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Spinal epidural abscess: common symptoms of an emergency condition. A case report.脊柱硬膜外脓肿：一种紧急情况的常见症状。病例报告。
Neuroradiol J. 2013 Aug;26(4):464-8. doi: 10.1177/197140091302600411. Epub 2013 Aug 27.
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Clinical review: The liver in sepsis.临床综述：脓毒症中的肝脏
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Infection control in anaesthesia.麻醉中的感染控制。
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Spinal epidural abscess.脊柱硬膜外脓肿
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Epidural abscesses.硬膜外脓肿
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Spinal epidural abscess: clinical presentation, management, and outcome.脊柱硬膜外脓肿：临床表现、治疗及预后
Surg Neurol. 2005 Apr;63(4):364-71; discussion 371. doi: 10.1016/j.surneu.2004.08.081.
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Epidural abscess complicating insertion of epidural catheters.硬膜外脓肿并发硬膜外导管置入术。
Br J Anaesth. 2002 Nov;89(5):778-82.
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Spinal epidural abscess--experience with 46 patients and evaluation of prognostic factors.脊柱硬膜外脓肿——46例患者的经验及预后因素评估
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