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硬膜外血补丁治疗产科硬膜外镇痛后非典型头痛

Epidural blood patch for atypical headache following obstetric epidural analgesia.

作者信息

Yentis S M, Haire K

机构信息

Magill Department of Anaesthetics, Chelsea and Westminster Hospital, London, UK.

出版信息

Anaesthesia. 1997 Jan;52(1):62-4. doi: 10.1111/j.1365-2044.1997.010-az010.x.

Abstract

A case of atypical headache presenting following otherwise unremarkable epidural analgesia in labour is presented. Although there was no suggestion of accidental dural puncture during insertion of the epidural catheter, and despite the unusual features of the headache and complicated case history, an epidural blood patch was performed 13 weeks post-partum, with improvement of the patient's symptoms. A repeat epidural blood patch 2 weeks later completely resolved her headache.

摘要

本文报告一例在分娩时硬膜外镇痛过程顺利但随后出现非典型头痛的病例。尽管在插入硬膜外导管时未提示意外硬膜穿刺,且头痛具有不寻常特征且病史复杂,但患者在产后13周进行了硬膜外血贴治疗,症状有所改善。两周后再次进行硬膜外血贴治疗,头痛完全缓解。

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