Uppal G S, Haider T T, Dwyer A, Uppal J A
Inland Empire Spine Institute, Riverside, California.
Spine (Phila Pa 1976). 1994 Mar 15;19(6):719-20. doi: 10.1097/00007632-199403001-00013.
Reversible complication of intrathecal morphine delivered by an implanted pump is described in one patient. The patient was evaluated initially using a contrast CT of the thoracic spine as well as urodynamics studies. After decreasing the intrathecally administered morphine from 2 mg/24 hr to .5 mg/24 hr, the patient's neurogenic bladder reversed within 4 days. Implanted pumps to deliver intrathecal narcotic medications are being used currently to treat intractable pain. This is a case report of reversible urinary retention secondary to the intrathecal narcotic.
一名患者出现了由植入泵输送鞘内吗啡引起的可逆性并发症。该患者最初接受了胸椎对比CT以及尿动力学检查。将鞘内注射的吗啡从2毫克/24小时降至0.5毫克/24小时后，患者的神经源性膀胱在4天内恢复正常。目前，植入泵用于输送鞘内麻醉药物以治疗顽固性疼痛。这是一例鞘内麻醉药物引起的可逆性尿潴留的病例报告。
