成功的脊柱麻醉剖腹产产后的剖腹产后外周血补丁对于内低血压头痛
R Grimes1, C Nelson-Piercy2, N Desai1
1Department of Anaesthesia and Peri-operative Medicine Guy's and St Thomas' NHS Foundation Trust London UK.
由于脑脊液压低而导致的孕期头痛可以通过腰部外周血补丁有效治疗. 这种干预允许在随后的剖腹产分娩期间安全地进行脊髓麻醉.
科学领域:
- 产科和妇科 产科和妇科
- 麻醉学 麻醉学
- 神经学 神经学
背景情况:
- 怀孕期间的头痛会带来诊断上的困难.
- 在怀孕期间的神经轴干预会带来诸如腹腔穿刺后头痛和腹腔下血瘤等风险,影响母亲和分娩的结果.
研究的目的:
- 在怀孕的患者中报告内低血压头痛病例.
- 讨论腰部外周周血贴的管理挑战和结果以及随后的分娩神经轴麻醉.
主要方法:
- 一名40岁的怀孕患者在怀孕32周时,在宫 cerclage 脊髓麻醉后12周发病了脑内低血压的次要头痛.
- 在怀孕38周+1周时,进行了腰部外周血贴.
- 对于剖腹产分娩的第二天,提供脊髓麻醉.
主要成果:
- 腰部外周周血贴完全解决了患者的头痛症状.
- 剖腹产时的脊髓麻醉是有效的,在血贴后24小时内没有副作用.
- 这一案例证明了怀孕期间脑脊液压力低的头痛的成功管理.
结论:
- 腰部外周血补丁是一种有效和安全的治疗在怀孕期间内低血压头痛.
- 对于分娩的神经轴麻醉可以在腰部外周周血贴后不久安全地进行.
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