硬膜外血贴治疗硬膜穿刺后头痛的经验

Experience of epidural blood patch for post-dural puncture headache.

作者信息

Wu Y W, Hui Y L, Tan P P

机构信息

Department of Anesthesiology, Chang Gung Memorial Hospital, Taipei, Taiwan, R.O.C.

出版信息

Acta Anaesthesiol Sin. 1994 Jun;32(2):137-40.

PMID:8038976

Abstract

Post-dural puncture headache is a common outcome following either spinal or epidural anesthesia. Cases were collected within five years' period (1988-1992) in Keelung Chang Gung Memorial Hospital. Those cases with relief of post-dural puncture headache after conservative treatment were excluded. There were 159 cases, 128 female patients and 31 male patients. Age ranged from 16-63 yrs. Post-dural puncture headache was observed in 145 patients receiving spinal anesthesia and 14 patients receiving epidural anesthesia. Volume of autologous blood for epidural blood patch ranged from 10 to 20 ml. Effective rate was 98.15% upon single blood patch. Repeated blood patch was done in 3 cases. No complication was noted.

摘要

硬膜穿刺后头痛是脊髓或硬膜外麻醉后的常见后果。病例收集于基隆长庚纪念医院五年期间（1988 - 1992年）。排除保守治疗后硬膜穿刺后头痛缓解的病例。共有159例，其中女性患者128例，男性患者31例。年龄在16至63岁之间。145例接受脊髓麻醉的患者和14例接受硬膜外麻醉的患者出现了硬膜穿刺后头痛。硬膜外血贴自体血的量为10至20毫升。单次血贴的有效率为98.15%。3例进行了重复血贴。未观察到并发症。