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意外并发症:硬膜外穿刺后置入硬膜下麻醉1例

Unforeseen Complications: A Case of Subdural Anesthesia Post-epidural Insertion.

作者信息

Ba-Shammakh Saleh A, Al-Samnah Ahmad H, Qassim Marah W, Al-Shawabkeh Al-Moutasm Bllah Z, Baamer Qobol S

机构信息

Department of General Surgery, Princess Rahma Hospital, Irbid, JOR.

Department of Anesthesiology and Reanimation, The Islamic Hospital, Amman, JOR.

出版信息

Cureus. 2023 Sep 15;15(9):e45312. doi: 10.7759/cureus.45312. eCollection 2023 Sep.

Abstract

Subdural anesthesia, although rare, is a significant complication of epidural anesthesia. This case report presents a 28-year-old female patient who developed sudden unconsciousness following epidural anesthesia administration for labor pain. Despite no evident contraindications to epidural anesthesia, she lost consciousness shortly after the initial test dose, leading to an emergency cesarean section under general anesthesia. The neonate showed signs of fetal bradycardia post-epidural and required intensive care. The patient made a complete recovery with no postpartum complications. This report underlines the need for vigilant monitoring and the importance of swift interventions in case of complications arising from epidural anesthesia.

摘要

硬膜下麻醉虽然罕见,但却是硬膜外麻醉的一种严重并发症。本病例报告介绍了一名28岁的女性患者,她在接受硬膜外麻醉以缓解分娩疼痛后突然失去意识。尽管硬膜外麻醉没有明显的禁忌证,但她在注射初始试验剂量后不久就失去了意识,随后在全身麻醉下进行了紧急剖宫产。新生儿在硬膜外麻醉后出现胎儿心动过缓的迹象,需要重症监护。患者完全康复,没有产后并发症。本报告强调了 vigilant监测的必要性以及在硬膜外麻醉出现并发症时迅速干预的重要性。 (注:vigilant原文拼写有误,正确拼写为vigilant ,意为“警惕的” )

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