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急性脊髓硬膜外脓肿的新视角。附两例病例报告说明。

New perspectives in acute spinal epidural abscess. Illustrated by two case reports.

作者信息

Schmutzhard E, Aichner F, Dierckx R A, Gerstenbrand F, Willeit J

出版信息

Acta Neurochir (Wien). 1986;80(3-4):105-8. doi: 10.1007/BF01812283.

DOI:10.1007/BF01812283
PMID:3716888
Abstract

The histories of two patients with spinal epidural abscess are reported. Attention is drawn to the route of infection by means of direct inoculation of pathogens in the wake of paravertebral infiltration of local anaesthetics for relieving lower backpain, furthermore we emphasize the rare occurrence of a relapsing acute spinal epidural abscess. Additionally the diagnostic superiority of nuclear magnetic resonance tomography is described in a patient known to be allergic to commonly used contrast material.

摘要

报告了两名脊髓硬膜外脓肿患者的病史。提请注意在用于缓解下背部疼痛的局部麻醉药椎旁浸润后通过病原体直接接种的感染途径,此外,我们强调复发性急性脊髓硬膜外脓肿的罕见情况。此外,还描述了在已知对常用造影剂过敏的患者中核磁共振断层扫描的诊断优势。

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New perspectives in acute spinal epidural abscess. Illustrated by two case reports.急性脊髓硬膜外脓肿的新视角。附两例病例报告说明。
Acta Neurochir (Wien). 1986;80(3-4):105-8. doi: 10.1007/BF01812283.
2
Spinal epidural abscess associated with epidural anesthesia: gadolinium-enhanced magnetic resonance imaging and its usefulness in diagnosis and treatment.与硬膜外麻醉相关的脊髓硬膜外脓肿:钆增强磁共振成像及其在诊断和治疗中的应用
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[Spinal epidural abscess following epidural anesthesia].硬膜外麻醉后脊髓硬膜外脓肿
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引用本文的文献

1
[Acute headache with meningism and xanthochromic cerebrospinal fluid.An unusual manifestation of cervical epidural abscess].[伴有脑膜刺激征和脑脊液黄变的急性头痛。颈椎硬膜外脓肿的一种不寻常表现]
Nervenarzt. 2003 Aug;74(8):699-703. doi: 10.1007/s00115-003-1540-3.
2
Iatrogenic epidural spinal abscess.医源性硬膜外脊髓脓肿
Clin Investig. 1993 Oct;71(10):780-6. doi: 10.1007/BF00190318.
3
Acute spinal epidural abscess.急性脊髓硬膜外脓肿

本文引用的文献

1
Nontuberculous spinal epidural infections.非结核性脊柱硬膜外感染
N Engl J Med. 1948 Dec 2;239(23):845-54. doi: 10.1056/NEJM194812022392301.
2
Spinal epidural abscess due to Actinomyces israelii.以色列放线菌引起的脊柱硬膜外脓肿。
Neurology. 1981 Feb;31(2):202-4. doi: 10.1212/wnl.31.2.204.
3
The role of anaerobic bacteria in abscess formation.厌氧菌在脓肿形成中的作用。
J Natl Med Assoc. 1990 Oct;82(10):713-6.
Annu Rev Med. 1982;33:217-29. doi: 10.1146/annurev.me.33.020182.001245.
4
Epidural abscess and vertebral osteomyelitis following serial lumbar punctures.连续腰椎穿刺后发生硬膜外脓肿和椎体骨髓炎。
Pediatrics. 1983 Oct;72(4):476-80.
5
Spinal epidural abscess: an unusual complication of bacterial endocarditis.脊柱硬膜外脓肿:细菌性心内膜炎的一种罕见并发症。
Infection. 1984 Jul-Aug;12(4):258-9. doi: 10.1007/BF01645954.
6
A study of 49 patients with acute spinal extradural abscess.一项针对49例急性硬脊膜外脓肿患者的研究。
Paraplegia. 1973 Feb;10(4):285-8. doi: 10.1038/sc.1973.52.
7
Acute spinal epidural abscess.急性脊髓硬膜外脓肿
J Neurol. 1985;231(6):343-4. doi: 10.1007/BF00313714.
8
Computed tomography of nontuberculous spinal infection.
J Comput Assist Tomogr. 1985 Mar-Apr;9(2):280-7. doi: 10.1097/00004728-198503000-00010.
9
Spinal epidural abscess.脊髓硬膜外脓肿
N Engl J Med. 1975 Sep 4;293(10):463-8. doi: 10.1056/NEJM197509042931001.
10
[Chronic epidural intraspinal abscess following lumbar puncture (author's transl)].腰椎穿刺后慢性硬膜外脊髓脓肿(作者译)
Neurochirurgia (Stuttg). 1977 Sep;20(5):173-7. doi: 10.1055/s-0028-1090374.