Pujol S, Torrielli R
Service de Rééducation Fonctionnelle, Centre Hospitalier, Pau Université.
Cah Anesthesiol. 1996;44(4):341-5.
Several neurological complications have been described after epidural anaesthesia, including direct trauma to the spinal cord or nerve roots, epidural haematoma, meningitis, epidural abscess, spinal cord infarction. neurologic toxicity of injected agents. In obstetric practice, these complications are very uncommon. However, their real occurrence may be underrated, partly for medicolegal reasons. Different complication mechanisms are described; they should be kept in mind while evaluating post block neurological deficits so that prompt corrective measures can be taken whenever appropriate to prevent permanent damage.
硬膜外麻醉后已有多种神经并发症的报道，包括脊髓或神经根直接损伤、硬膜外血肿、脑膜炎、硬膜外脓肿、脊髓梗死、注射药物的神经毒性。在产科实践中，这些并发症非常少见。然而，由于部分法律原因，它们的实际发生率可能被低估。文中描述了不同的并发症机制；在评估阻滞术后神经功能缺损时应牢记这些机制，以便在适当时及时采取纠正措施，防止造成永久性损伤。
