骨折的外周导管在外周腔空间保留碎片-一个案例研究和建议的管理算法
Ben Gompels1, Tobin Rusby2, Neil Slater3
1Department of Trauma and Orthopaedic Surgery, Wirral University Teaching Hospital NHS Foundation Trust, Birkenhead, UK.
BJA open
|August 17, 2023
概括
一种罕见的并发症,一个骨折的外周导管,在脊髓运河中保留了片段,如果在脊髓运河之外,可以保守地管理. 建议早期手术切除脊柱通道内的碎片,以防止并发症.
科学领域:
- 麻醉学 麻醉学
- 神经外科 神经外科
- 放射学 放射学是一门学科.
背景情况:
- 脊柱通道中保留碎片的外周导管骨折是外周麻醉的罕见并发症.
- 这起案件涉及一名37岁的产后女性,在中线L3/L4外周麻醉过程中经历了导管骨折.
研究的目的:
- 为了呈现一个保留的外周导管碎片的情况.
- 讨论管理选择,并为这种罕见的并发症提出治疗算法.
主要方法:
- 一个病例报告,一名37岁的产后女性患有外周导管骨折.
- 诊断成像包括CT和MRI以评估碎片位置.
- 在全身麻醉下手术切除保留的碎片.
主要成果:
- 留下的外周导管碎片位于脊髓运河内,穿透了带.
- 在移除之前,患者无症状.
- 手术切除是在产后3天进行的.
结论:
- 对于无症状患者来说,如果碎片位于脊髓管道之外,并且没有皮肤损伤,那么保守的管理是合理的.
- 建议在脊柱管内的碎片进行早期手术切除,以防止持续的粘附,并促进更容易,更低风险的手术.
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