Kowbel M A, Comfort V K
Department of Anaesthesia, Royal University Hospital, Saskatoon, Saskatchewan.
Can J Anaesth. 1995 Jul;42(7):625-7. doi: 10.1007/BF03011883.
This clinical report describes the performance of an epidural blood patch in a four-year-old child with acute lymphocytic leukaemia, who developed a subarachnoid-cutaneous fistula from repeated lumbar punctures for chemotherapy. The epidural blood patch was performed using an #18-gauge epidural catheter threaded through a #16-gauge intravenous catheter via the caudal approach. This approach was successful in a child whose lumbar epidural anatomy was distorted due to a collection of subcutaneous cerebrospinal fluid making identification of the epidural space by the usual lumbar approach very difficult. This report demonstrates an alternative technique for the performance of an epidural blood patch.
本临床报告描述了一名4岁急性淋巴细胞白血病患儿硬膜外血贴的操作情况。该患儿因化疗反复进行腰椎穿刺而发生蛛网膜下腔-皮肤瘘。硬膜外血贴是通过经骶管途径将一根18号硬膜外导管穿过一根16号静脉导管来进行的。由于皮下脑脊液积聚，该患儿的腰椎硬膜外解剖结构发生扭曲，通过常规腰椎途径很难识别硬膜外间隙，而这种方法在该患儿身上取得了成功。本报告展示了一种进行硬膜外血贴的替代技术。
