[Intracerebral subdural hematoma after delivery with peridural catheter anesthesia].

M Thöns, D Neveling, W Hatzmann
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引用次数: 0

Abstract

26 days past an obstetric catheter epidural anesthesia a subdural haematoma right fronto-temporal was diagnosed and relieved by operation in a primipara of 19 years of age. Already several days after the delivery the patient was suffering recurrent headaches, at first misinterpreted as post-spinal headaches. Weeks later a cranial computer tomography lead to the right diagnosis. Although the occurrence of a subdural haematoma after catheter epidural anesthesia is extremely rare, untypical headaches following spinal, epidural or caudal procedures, should call your attention towards this complication. Because of the pressing mechanisms during childbearing, delivering mothers run the risk of a subdural haematoma.

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[硬膜外导管麻醉分娩后脑硬膜下血肿]。
一位19岁的初产妇,经产科导管硬膜外麻醉26天后被诊断为右侧额颞部硬膜下血肿,并通过手术解除。分娩后几天,病人反复出现头痛,起初被误认为是脊髓后头痛。几周后,脑部电脑断层扫描做出了正确的诊断。尽管硬膜外导管麻醉后出现硬膜下血肿极为罕见,但脊柱、硬膜外或尾侧手术后出现的非典型头痛应引起您对这种并发症的注意。由于分娩过程中的压迫机制,分娩的母亲有发生硬膜下血肿的风险。
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[Symposium on Uterine Contraction and Beginning of Labor. Aachen, September 1993]. [Uterine contraction and labor onset. Overview]. [Control of labor onset in the human]. [Biochemical principles of cervix ripening and dilatation]. [Role of the cervix uteri at labor onset from ultrasound studies].
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