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Two-site blind epidural blood patch versus targeted epidural blood patch in spontaneous intracranial hypotension.自发性颅内低压中双位点盲法硬膜外血贴与靶向硬膜外血贴的比较
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2
Spontaneous intracranial hypotension: presentation, diagnosis, and treatment.自发性颅内低压：临床表现、诊断与治疗
Anesthesiology. 2014 Dec;121(6):1327-33. doi: 10.1097/ALN.0000000000000410.
3
Management of postdural puncture headache with epidural blood patch in children.小儿硬膜外血贴治疗硬膜穿刺后头痛
Paediatr Anaesth. 2002 Jul;12(6):526-9. doi: 10.1046/j.1460-9592.2002.00863.x.
4
Caudal epidural blood patch for the treatment of a paediatric subarachnoid-cutaneous fistula.尾段硬膜外血补丁治疗小儿蛛网膜下腔 - 皮肤瘘
Can J Anaesth. 1995 Jul;42(7):625-7. doi: 10.1007/BF03011883.
5
Epidural blood patch in a seven-year-old child.一名七岁儿童的硬膜外血贴疗法。
Can J Anaesth. 1995 Jul;42(7):621-4. doi: 10.1007/BF03011882.

硬膜外血贴治疗 10 岁儿童鞘内化疗后低颅压：病例报告。

Epidural blood patch for the treatment of liquor hypotension after intrathecal chemotherapy in a 10-year-old: case report.

机构信息

Centro Hospitalar Universitário de São João, Department of Anaesthesiology, Porto, Portugal.

Centro Hospitalar Universitário de São João, Department of Anaesthesiology, Porto, Portugal.

出版信息

Braz J Anesthesiol. 2021 Jul-Aug;71(4):458-460. doi: 10.1016/j.bjane.2021.02.024. Epub 2021 Feb 19.

DOI:10.1016/j.bjane.2021.02.024
PMID:33714610
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9373351/
Abstract

BACKGROUND AND OBJECTIVES

An epidural blood patch is used to treat postdural puncture and liquor hypotension headache. We report the use of an epidural blood patch in a critical pediatric patient.

CASE REPORT

A 10-year-old girl with acute leukemia developed venous cerebral thrombosis with hemorrhagic transformation one month after intrathecal chemotherapy. Given the unusual clinical and imagiological evolution even after decompressive craniectomy, we suspected cerebrospinal fluid hypotension. Spine imaging revealed signs of post-lumbar puncture fistula; we hence performed a blind blood patch.

CONCLUSIONS

Recognizing cerebrospinal fluid hypotension in critical pediatric patients is important. Less-conventional life-saving measures, such as a blind blood patch, may be considered in such patients.

摘要

背景与目的

硬膜外血贴用于治疗硬脊膜穿刺后头痛和脑脊液压力降低性头痛。我们报告了一例在危重症儿科患者中应用硬膜外血贴的病例。

病例报告

一名 10 岁女孩，急性白血病，在鞘内化疗后 1 个月发生静脉性脑梗死伴出血转化。尽管行去骨瓣减压术后仍出现了不典型的临床和影像学演变，我们怀疑为脑脊液压力降低。脊柱影像学显示有腰椎穿刺后瘘的迹象；因此，我们进行了盲目血贴。

结论

在危重症儿科患者中，识别脑脊液压力降低很重要。对于此类患者，可能需要考虑采用不太常规的救命措施，如盲目血贴。