宫内膜注射类固醇注射后的外血瘤:一个病例报告
Masoud Hashemi1, Sina Hassannasab1, Sogol Asgari1
1Shahid Beheshti Medical University, Anesthesiology and Pain Medicine Department, Tehran, Iran.
Pain medicine case reports
|April 21, 2025
概括
宫外围注射类固醇注射 (CESI) 的罕见并发症,一种外围血瘤,发生在一个患者身上. 这一案例凸显了考虑这种与程序相关的罕见风险的重要性.
科学领域:
- 疼痛管理 疼痛管理
- 神经外科 神经外科
- 放射学 放射学是一门学科.
背景情况:
- 宫性激素病和激素炎导致部疼痛,通常通过保守的治疗来控制.
- 当保守方法失败时,宫外周类固醇注射 (CESI) 是一种选择.
- CESI可能带来潜在的副作用和严重的并发症,包括外周血液瘤.
研究的目的:
- 报告一种罕见的偏间膜CESI (PCESI) 的并发症.
- 提高人们对外周膜外血瘤作为PCESI的潜在风险的认识.
主要方法:
- 一个62岁妇女接受PCESI的病例报告.
- 临床表现包括术后疼痛,运动,感觉和肌肉力量的减少.
- 通过磁共振成像 (MRI) 证实了诊断,显示了 epidural 血液瘤.
主要成果:
- 患者在PCESI后发展出了外周血液瘤.
- 血液瘤在观察下在72小时内自发消失.
- 患者经历了完全康复,没有剩余的缺陷.
结论:
- 外周出血瘤是CESI的一个罕见并发症.
- 这种并发症可能是PCESI的技术特异性,可能与血管解剖学有关.
- 临床医生应考虑在PCESI后出现神经缺陷的患者中进行外周血腫.
相关概念视频
Local Anesthetics: Clinical Application as Epidural Anesthesia
396
Epidural anesthetics are administered in the fat-filled epidural space, the outermost part of the spinal canal. This technique is commonly employed for pain management and anesthesia during lower abdomen and pelvis surgeries or labor and delivery.
Since epidural anesthetics can be infused through an epidural catheter, all types of drugs, including short-acting ones, can be administered. Chloroprocaine and lidocaine are examples of short and long-duration anesthetics, respectively. Bupivacaine...
Since epidural anesthetics can be infused through an epidural catheter, all types of drugs, including short-acting ones, can be administered. Chloroprocaine and lidocaine are examples of short and long-duration anesthetics, respectively. Bupivacaine...
396
Local Anesthetics: Clinical Application as Spinal Anesthesia
553
Spinal anesthetics are given during lower abdomen and limb surgeries to block sensory and motor neurons. They are administered in the mid to low lumbar regions, primarily acting on the cauda equina's nerve roots. The blockade level depends on the local anesthetic (LA) concentration. Usually, low LA concentrations are sufficient to block sensory fibers, while only high LA concentrations block motor fibers. Other factors like injection volume and speed, the patient's posture, and the drug...
553


