细致的医学问诊和超声检查助力发现腰椎触发点注射后急性肾损伤和血肿——一例报告
Careful medical interview and ultrasonography enabled detection of acute kidney injury and hematoma after lumbar trigger point injection-a case report.
作者信息
Sato Satoshi, Tachibana Shunsuke, Okazaki Kayoko, Namba Hitoshi, Ichimiya Takahiro, Yamakage Michiaki
机构信息
Department of Anesthesiology, Asahikawa City Hospital, 1-1-65 Kinseicho, Asahikawa, Hokkaido, 070-8610, Japan.
Department of Anesthesiology, Sapporo Medical University School of Medicine, South 1, West 16, Chuo-ku, Sapporo, Hokkaido, 060-8543, Japan.
出版信息
JA Clin Rep. 2021 Jan 26;7(1):12. doi: 10.1186/s40981-021-00416-0.
BACKGROUND
Trigger point blocks are now widely practiced, especially in pain treatment. Among the complications of lumbar trigger point injection, reports of medically induced kidney injury are very rare, and diagnosis during emergency treatment is rare.
CASE PRESENTATION
A 78-year-old woman on antiplatelet medication following a stroke was diagnosed with treatable type A aortic dissection at another hospital after undergoing lumbar trigger point injection. On arrival at our hospital, there were no signs of hemodynamic deterioration. Additional careful medical re-interview and ultrasonography by anesthesiologists enabled a definitive diagnosis of acute kidney damage and hematoma caused by lumbar trigger point injection, and aortic dissection surgery was abandoned.
CONCLUSION
This clinical case demonstrates the importance of awareness of potential kidney injury and hematoma during lumbar trigger point injection.
背景
触发点阻滞目前应用广泛，尤其是在疼痛治疗中。在腰椎触发点注射的并发症中，药物性肾损伤的报告非常罕见，急诊治疗期间的诊断也很少见。
病例介绍
一名78岁女性在中风后服用抗血小板药物，在接受腰椎触发点注射后，在另一家医院被诊断为可治疗的A型主动脉夹层。到达我院时，没有血流动力学恶化的迹象。麻醉医生通过进一步仔细的医学再问诊和超声检查，明确诊断为腰椎触发点注射导致的急性肾损伤和血肿，主动脉夹层手术被放弃。
结论
本临床病例表明，在腰椎触发点注射过程中，认识到潜在的肾损伤和血肿的重要性。
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