Meyer H H, Mlasowsky B, Ziemer G, Tryba M
Anasth Intensivther Notfallmed. 1985 Oct;20(5):287-8.
We present a female patient in whom numerous lumbar punctures for epidural anaesthesia were followed by a delayed development of a large subcutaneous haematoma in the lumbar region. The outcome was fatal. The patient's basic disease was found to be chronic myeloic leukaemia that had caused an excessive elevation of platelet count. We, therefore, suggest that lumbar punctures for epidural anaesthesia should be approached with extreme care in cases of thrombocytaemia. If possible, repeated punctures for the placement of epidural catheters should be avoided.
我们报告一名女性患者，其接受了多次用于硬膜外麻醉的腰椎穿刺，随后在腰部区域出现了延迟性的巨大皮下血肿。结果是致命的。发现该患者的基础疾病是慢性髓性白血病，这导致血小板计数过度升高。因此，我们建议，在血小板增多症的情况下，进行用于硬膜外麻醉的腰椎穿刺时应极其谨慎。如果可能的话，应避免为放置硬膜外导管而重复穿刺。
