Maycock N F, van Essen J, Pfitzner J
Department of Anaesthesia, Queen Elizabeth Hospital, Adelaide, South Australia.
Spine (Phila Pa 1976). 1994 Oct 1;19(19):2223-5. doi: 10.1097/00007632-199410000-00018.
OBJECTIVES AND SUMMARY OF BACKGROUND DATA: Cerebrospinal fluid fistula after spinal surgery is associated with a definite risk of meningitis or discitis, and as a result, early active intervention usually is recommended.
This report describes the successful use of an epidural blood patch after a more conventional intervention--namely, surgical re-exploration--had failed to control a postoperative cerebrospinal fluid leak.
The techniques involved in performing a blood patch after spinal surgery may well differ from those usually recommended in the management of spinal headache resulting from other causes of dural puncture.
背景数据的目的和总结：脊柱手术后脑脊液瘘与脑膜炎或椎间盘炎的明确风险相关，因此，通常建议尽早进行积极干预。
本报告描述了在更常规的干预措施（即手术再次探查）未能控制术后脑脊液漏后，成功使用硬膜外血补丁的情况。
脊柱手术后进行血补丁的技术可能与通常推荐用于处理因其他硬膜穿刺原因导致的脊柱头痛的技术有很大不同。
