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[硬膜外麻醉后头痛和腰痛]

[Headache and low back pain after epidural anesthesia].

作者信息

Gentili M E, Eledjam J J, Viel E

机构信息

Service d'Anesthésie-Réanimation, Clinique Sainte-Thérèse, Lannion.

出版信息

Cah Anesthesiol. 1994;42(2):247-55.

PMID:8087642
Abstract

Headache and low back pain are common minor complications after epidural anaesthesia. Headache is due to cerebrospinal leakage through the site of accidental dural puncture. Epidural blood patch is considered as the better curative treatment. Acute or long term backache is often reported after epidural anaesthesia. Different mechanisms are suggested: needle trauma, myotoxicity of local anaesthetic and postural problem. Large prospective randomized studies are yet necessary to clarify the role of epidural anaesthesia, the duration of symptoms and the therapeutic.

摘要

头痛和腰痛是硬膜外麻醉后常见的轻微并发症。头痛是由于脑脊液通过意外硬膜穿刺部位漏出所致。硬膜外血贴被认为是较好的治疗方法。硬膜外麻醉后常报告有急性或长期背痛。提出了不同的机制:穿刺针创伤、局部麻醉药的肌毒性和姿势问题。仍需要大规模的前瞻性随机研究来阐明硬膜外麻醉的作用、症状持续时间和治疗方法。

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