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[一例硬膜外导管污染后发生的横贯性脊髓综合征病例]

[A case of transverse spinal cord syndrome following contamination of a peridural catheter].

作者信息

König H J, Schleep J, Krähling K H

出版信息

Reg Anaesth. 1985 Jul;8(3):60-2.

PMID:4035023
Abstract

Two weeks after removal of a peridural catheter a transverse lesion of the cord with paraplegia developed. At operation a paravertebral abscess, osteomyelitis of the lamina L2 and L3, and epidural abscess, a phlegmonous duritis and myelitis of the conus-cauda region by transmigration was found. The catheter had been in position for four days. The infection was caused by staphylococcus epidermidis. After laminectomy L2 and L3 as well as local and systemic application of antibiotics, according to the results of sensitivity tests, neurological deficits disappeared nearly completely.

摘要

硬膜外导管拔除两周后,出现伴有截瘫的脊髓横贯性损害。手术时发现椎旁脓肿、L2和L3椎板骨髓炎、硬膜外脓肿、脓性硬脊膜炎以及通过蔓延导致的圆锥马尾区域脊髓炎。导管留置了四天。感染由表皮葡萄球菌引起。根据药敏试验结果,行L2和L3椎板切除术后,局部及全身应用抗生素,神经功能缺损几乎完全消失。

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