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脊髓麻醉期间鞘内注射地高辛:一份概述恢复和康复情况的病例报告

Intrathecal Digoxin Administration During Spinal Anesthesia: A Case Report Outlining Recovery and Rehabilitation.

作者信息

Hooper Nicholas R, Doan Minh Andy, Davis Derick, Morgan James

机构信息

Department of Physical Medicine and Rehabilitation, Emory University, Atlanta, USA.

Department of Spinal Cord Injury, Shepherd Center, Atlanta, USA.

出版信息

Cureus. 2024 Jul 25;16(7):e65376. doi: 10.7759/cureus.65376. eCollection 2024 Jul.

Abstract

This case report highlights the rehabilitation outcomes of a 24-year-old female who received inadvertent intrathecal digoxin during a routine cesarean section, leading to encephalomeningitis, vestibulocochlear neuritis, and incomplete paraplegia. Despite initial neurological deficits, the patient demonstrated significant improvement in both cognition and functional mobility during a one-month inpatient rehabilitation program, ultimately achieving ambulation with assistive devices. This case underscores the potential for rehabilitation of neurological sequela following accidental intrathecal digoxin administration.

摘要

本病例报告强调了一名24岁女性在常规剖宫产手术期间意外鞘内注射地高辛后的康复结果,该事件导致了脑脊髓膜炎、前庭蜗神经炎和不完全性截瘫。尽管最初存在神经功能缺损,但患者在为期一个月的住院康复计划中,认知和功能活动能力均有显著改善,最终借助辅助设备实现了行走。该病例强调了意外鞘内注射地高辛后神经后遗症康复的可能性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a2e7/11344593/bf4c70930985/cureus-0016-00000065376-i01.jpg

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