Adamcho N I, Bondar' V P, Rusavskiĭ I V
Vopr Neirokhir. 1978 Jan-Feb(1):43-7.
In lumbar peridurography conducted in 117 patients with discogenic radiculitis complications occurred both in the stage of peridural anesthesia and after introduction of the radiocontrast medium. During anesthesia the dura mater was punctured in 4 patients, in another 2 patients dicaine penetrated into the subarachnoid space and caused spinal anesthesia with a high upper level. Peridural anesthesia with paralysis of the respiratory musculature developed in 1 patient. After the injection of the radiocontrast medium, spasm in the lower extremities and trunk of the type of spinal epilepsy developed in 4 patients. The clinical picture, prevention, and treatment of these complications are discussed.
在对117例椎间盘源性神经根炎患者进行腰椎硬膜外造影时，硬膜外麻醉阶段和注入放射造影剂后均出现了并发症。麻醉过程中，4例患者硬脊膜被刺破，另外2例患者的地卡因进入蛛网膜下腔并导致高位脊髓麻醉。1例患者发生了伴有呼吸肌麻痹的硬膜外麻醉。注入放射造影剂后，4例患者出现了脊髓癫痫样的下肢和躯干痉挛。文中讨论了这些并发症的临床表现、预防及治疗方法。
