婴儿、儿童及青少年使用甲泛葡胺脊髓造影的不良反应。II. 腰椎穿刺及注射造影剂引起的局部损伤。

Adverse reactions to myelography with metrizamide in infants, children and adolescents. II. Local injury caused by lumbar puncture and injection of contrast medium.

作者信息

Pettersson H, Fitz C R, Harwood-Nash D C, Chuang S H, Armstrong D

出版信息

Acta Radiol Diagn (Stockh). 1982;23(3B):331-5. doi: 10.1177/028418518202303b10.

DOI:10.1177/028418518202303b10

Abstract

A series of 605 myelographies with metrizamide was reviewed to assess the risk of local injury caused by the puncture and injection of metrizamide. A lesion below the normal level of the medullary conus was found in 139 patients, and in 10 of these the needle went into or through the lesion. One patient developed paraplegia due to the puncture and injection, no other patient had any symptoms. It is concluded that in spite of the risk, lumbar puncture should be the routine procedure for myelography with metrizamide in children.

摘要

回顾了605例使用甲泛葡胺的脊髓造影病例，以评估甲泛葡胺穿刺和注射引起局部损伤的风险。在139例患者中发现脊髓圆锥正常水平以下有病变，其中10例患者的穿刺针进入或穿过了病变部位。1例患者因穿刺和注射导致截瘫，其他患者均无任何症状。得出的结论是，尽管存在风险，但腰椎穿刺仍应作为儿童甲泛葡胺脊髓造影的常规操作。