Stevens R A, Jorgensen N
Department of Anesthesiology, Naval Hospital, Bethesda, MD.
Acta Anaesthesiol Scand. 1988 Jul;32(5):429-31. doi: 10.1111/j.1399-6576.1988.tb02760.x.
A case is presented of a 30-year-old female with a 4-month history of post-lumbar puncture headache (PLPHA) resulting from an accidental dural puncture during an attempted epidural anesthetic for cesarean section. Epidural blood patches were attempted at 4 days and 3 months post-lumbar puncture, but were unsuccessful. At 4 months post-lumbar puncture, a 24-h epidural saline infusion relieved the PLPHA for 48 h, but the headache returned. Finally, a second epidural saline infusion was done, followed by an epidural blood patch, which permanently cured the PLPHA. Follow-up to 4 months showed no return of the PLPHA. The rationale for epidural blood and saline patches is discussed.
本文报告一例30岁女性，因剖宫产硬膜外麻醉时意外硬膜穿刺，出现了为期4个月的腰穿后头痛（PLPHA）。在腰穿后4天和3个月尝试进行硬膜外血贴治疗，但未成功。腰穿后4个月，进行了24小时硬膜外生理盐水输注，使PLPHA缓解了48小时，但头痛复发。最后，再次进行硬膜外生理盐水输注，随后进行硬膜外血贴，PLPHA得以永久治愈。随访4个月，PLPHA未复发。文中讨论了硬膜外血贴和生理盐水输注的理论依据。
