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脑脊髓液泄漏引起的小儿患者体外血栓补丁:一个说明性的案例

Ryan S Chung^1,2,3, Lacin Koro^1,2, Benjamin Best¹

¹Division of Pediatric Neurosurgery, Children's Hospital Los Angeles, Los Angeles, California.

Journal of neurosurgery. Case lessons

|September 8, 2025

概括

脊髓外血贴片 (EBP) 在儿科患者中有效治疗内低血压 (IH) 和腹腔内血瘤 (SDH),强调EBP是这些严重疾病的安全干预措施.

科学领域:

神经学神经学
儿科医学儿科医学
神经外科神经外科

背景情况:

内低血压 (IH) 可以导致严重的并发症,如皮下血液瘤 (SDH).
自发性或阴性脑脊液 (CSF) 泄漏是IH的常见原因.
外周血补丁 (EBP) 是已知的IH治疗方法,但其在SDH的儿科患者中的使用尚未得到充分记录.

研究的目的:

报告EBP在儿科患者中作为IH与SDH单独干预的成功使用情况.
强调在患有特定头痛表现的儿科患者中考虑IH的重要性.
突出EBP在预防进一步并发症方面的潜力.

主要方法:

一个案例研究,一个11岁的男性患有急性髓性白血病,在腰部穿刺后发展出IH和SDH.
最初的诊断包括SDH的成像和腰椎的MRI,以确定CSF泄漏.
在保守管理失败后,治疗涉及EBP.

主要成果:

患者经历了EBP后立即头痛缓解.
放射性证据证实了SDH的决议.
在EBP是有效的,尽管最初不确定的MRI CSF泄漏.

结论:

在儿科患者中对IH的高度怀疑至关重要,在腰椎穿刺后出现体位头痛,即使使用非诊断成像,也是如此.
对于患有IH和SDH的儿科患者,EBP可以是一种安全有效的治疗方法.
对EBP的及时干预可以防止该人群的临床恶化和进一步的并发症.

关键词:

在EBPEBPEBPEBPEBP SDH SDH SDH SDH SDH SDH SDH SDH SDH SDH SDH SDH SDH SDH SDH SDH SDH SDH 案例报告案例报告 epidural epidural 周周周周周周周周周周周周周周周周周周周周周周周周周周周周周周周周周周周周周周周周周周周周周周周周周周周周周周周周周周周周周周周周周周周周周周周周周周周周周周周周周周周周周周周周周周周周周周周周周周周周周周周周周周周周周周周周周周周周周周周周周周周周周周周周周周周周周周周周周周周周周周周周周周周周周周周周周周周周周周周周周周周周周周周周周周周周周周周周周周周周周周周周周周周周周周周周周周周周周周周周周周内低血压是什么意思儿科儿科儿科

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