Crawford J S
Anaesthesia. 1980 May;35(5):513-5. doi: 10.1111/j.1365-2044.1980.tb03834.x.
Sixty-six of a series of 116 patients had a postural headache resulting from an inadvertent dural puncture (despite in 64 cases the provision of an epidural drip) and 50 had headache following a spinal block. Experience suggested that it is advisable to inject 20 ml of blood unless during the course of injection the patient complains of pain or discomfort. Blood should also be taken for culture. In only one patient (who had three dural punctures) of the 98 so treated has the patch failed to relieve the headache. Arguments are presented against the use of a prophylactic patch, and against utilisation of the epidural catheter as a route for injecting the patch.
在116例患者中，有66例因硬膜意外穿破（尽管64例使用了硬膜外滴注）而出现体位性头痛，50例在脊麻后出现头痛。经验表明，除非在注射过程中患者主诉疼痛或不适，否则注入20毫升血液是可取的。还应采集血液进行培养。在接受治疗的98例患者中，只有1例（该患者有3次硬膜穿破）使用补片未能缓解头痛。文中提出了反对使用预防性补片以及反对将硬膜外导管作为注入补片途径的观点。
