患有凝血障碍的患者的腰部刺穿后的腹膜下血瘤:病例报告和病原遗传影响
Chenyuan Ding1,2, Yueqi Du1,2, Penghao Liu1,2
1Department of Neurosurgery, Xuanwu Hospital, Capital Medical University, Beijing, China.
The American journal of case reports
|September 25, 2025
概括
在患有凝血障碍的患者的腰部穿刺后,腹腔内血瘤可能会导致严重的并发症. 在腰部穿刺时,仔细注意针的深度对于防止这种罕见但危险的事件至关重要.
科学领域:
- 神经学 神经学
- 神经外科 神经外科
- 放射学 放射学是一门学科.
背景情况:
- 报告了一例罕见的15岁女性患者的腰部刺穿后的腹膜下血瘤.
- 该患者有脑静脉鼻血栓病史,正在接受抗凝治疗.
- 这种并发症导致了脊内血瘤和头骨高血压.
研究的目的:
- 详细介绍一下下皮下穿刺后的腹腔内血瘤的临床事件和手术内成像.
- 在患有凝血病的患者中阐明这种并发症的致病性.
- 讨论类似病例的预防策略.
主要方法:
- 一个15岁的女性患者的病例报告.
- 紧急神经脊柱外科手术用于切除皮下血液瘤.
- 在术内观察持续透和静脉损伤.
主要成果:
- 腰部穿刺针穿透了背部和腹部硬膜,可能损伤了前椎静脉.
- 脑脊液的快速释放产生了负压,导致大规模出血和脊内血瘤.
- 手术切除血瘤导致神经系统改善,没有后果.
结论:
- 在患有凝血病的患者中,对腰部穿刺深度的仔细注意是必不可少的.
- 避免持续性透和随后的脑脊液释放对于预防持续性血液瘤至关重要.
- 预防措施可以减轻这种严重并发症的风险.
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