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硬膜外导管拔除后自发性蛛网膜-皮肤瘘的发生及其处理:一例报告

Development of spontaneous subarachnoid-cutaneous fistula after the removal of epidural catheter and its management: A case report.

作者信息

Kaur Bhanupreet, Panditrao Minnu, Bansal Nitin, Gupta Aayleeta

机构信息

Department of Anaesthesia, Adesh Institute of Medical Sciences and Research, Bathinda, Punjab, India.

Department of Orthopaedics, Adesh Institute of Medical Sciences and Research, Bathinda, Punjab, India.

出版信息

Saudi J Anaesth. 2025 Jul-Sep;19(3):403-405. doi: 10.4103/sja.sja_341_24. Epub 2025 Jun 16.

DOI:10.4103/sja.sja_341_24
PMID:40642635
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12240498/
Abstract

Continuous epidural catheter technique is generally a safe modality. A rare occurrence of development of subarachnoid-cutaneous fistula (SACF), postremoval of epidural catheter, is described. It can be potentially challenging to diagnose and treat. A watchful and patient conservative approach is highly recommended for successful outcomes.

摘要

连续硬膜外导管技术通常是一种安全的方式。本文描述了硬膜外导管拔除后罕见的蛛网膜-皮肤瘘(SACF)形成情况。其诊断和治疗可能具有挑战性。为获得成功结果,强烈建议采取谨慎且耐心的保守方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a239/12240498/b47897f2c388/SJA-19-403-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a239/12240498/b47897f2c388/SJA-19-403-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a239/12240498/b47897f2c388/SJA-19-403-g001.jpg

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本文引用的文献

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Meningitis following cerebrospinal fluid-cutaneous fistula secondary to combined spinal-epidural anaesthesia for elective caesarean delivery.脊髓-硬膜外联合麻醉用于择期剖宫产术后并发脑脊液-皮肤瘘致脑膜炎。
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Beta-trace protein test: new guidelines for the reliable diagnosis of cerebrospinal fluid fistula.β-微球蛋白检测:脑脊液瘘可靠诊断的新指南
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