Reynvoet M E, Cosaert P A, Desmet M F, Plasschaert S M
Department of Anaesthesia, Ziekenhuis Sint Maarten, Kortrijk, Belgium.
Anaesthesia. 1997 Sep;52(9):886-8. doi: 10.1111/j.1365-2044.1997.183-az0320.x.
We report a case where two consecutive blood patches failed to relieve postdural puncture headache and hearing loss following inadvertent dural puncture. Initial conservative therapy with analgesics, fluids and later two blood patches had no effect and the patient's symptoms only resolved after an epidural dextran 40 patch performed 8 weeks after the dural tap. Two months later, the patient is still asymptomatic.
我们报告了一例病例，在意外硬膜穿刺后，连续两次血补丁治疗未能缓解硬膜穿刺后头痛和听力丧失。最初使用镇痛药、补液进行保守治疗，随后进行的两次血补丁治疗均无效，在硬膜穿刺8周后进行硬膜外右旋糖酐40补丁治疗后，患者症状才得以缓解。两个月后，患者仍无症状。
