Rodrigo P, García J M, Ailagas J
Servicio de Anestesiología, Hospital de Basurto, Bilbao.
Rev Esp Anestesiol Reanim. 1997 Jun-Jul;44(6):247-9.
We report a case of iatrogenic pneumocephalus in an obstetric patient after accidental dural puncture during repeated attempts to locate the epidural space by the technique of loss-of-resistance to air. Analgesia was provided throughout labor. Two days after puncture, typical spinal headache developed and was treated with bed rest, oral analgesics and hydration. The patient was released four days after delivery but returned to the hospital emergency service after suffering general convulsions and loss of consciousness which resolved spontaneously. A computerized tomography (CT) scan revealed pneumocephalus, to which the convulsions were attributed. No further convulsions occurred in spite of the fact that anticonvulsives were not prescribed. A CT scan one month later was normal.
我们报告一例产科患者医源性气颅病例，该患者在通过空气阻力消失技术反复尝试定位硬膜外间隙时意外发生硬膜穿刺。整个分娩过程中均给予镇痛。穿刺两天后，出现典型的脊柱性头痛，采用卧床休息、口服镇痛药和补液治疗。患者在分娩后四天出院，但在出现全身惊厥和意识丧失后自行缓解，随后返回医院急诊。计算机断层扫描（CT）显示气颅，惊厥归因于此。尽管未开抗惊厥药，但未再发生惊厥。一个月后的CT扫描结果正常。
