在外周麻醉下剖腹产后自发脊柱外周血瘤 (SSEH):一个病例报告
1Department of Anesthesiology, Women and Children's Hospital of Chongqing Medical University (Chongqing Health Center for Women and Children), Chongqing, China.
Heliyon
|December 21, 2023
概括
自发脊柱外周血瘤 (SSEH) 是一种罕见的妊娠并发症. 及时诊断和手术减压对于改善受影响妇女的神经结果至关重要.
科学领域:
- 神经学 神经学
- 产科 产科 产科 产科 产科
- 神经外科 神经外科
背景情况:
- 自发脊柱外周血瘤 (SSEH) 是一种不常见的疾病.
- 怀孕是SSEH的一个已知的风险因素.
- 由于异常症状和外周麻醉使用,早期诊断具有挑战性.
研究的目的:
- 在接受外周止痛治疗的孕妇中呈现SSEH病例.
- 突出诊断挑战和早期干预的重要性.
主要方法:
- 一个29岁的女人的病例报告.
- 审查她的分娩止痛和麻醉程序.
- 核磁共振和神经外科的咨询诊断.
- 紧急压缩减压手术.
主要成果:
- 患者在外周穿刺后45.5小时出现了,没有背部疼痛.
- 磁力共振成像证实了SSEH,导致了紧急手术.
- 手术后17个月,神经系统的恢复不完全.
结论:
- 孕妇在外周术后出现神经缺陷时,应考虑SSEH.
- 早期脊柱成像和神经外科干预对治疗至关重要.
- 及时管理可以改善神经恢复.
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