硬膜外镇痛脑脊液外流2例

Cerebrospinal Fluid Leak after Epidural Needle Puncture followed by Postoperative Epidural Analgesia:2 Cases Report

连续硬膜外麻醉术后硬膜外镇痛泵镇痛脑脊液外流极为少见,本文报道的2例患者既往体健,脊柱无畸形,麻醉穿刺顺利,无腰麻征象,术后接硬膜外镇痛泵镇痛。术后2～3d,脊柱麻醉穿刺部位渗漏无色透明液体,实验室证明为脑脊液。患者无不适,经加压包扎后大约6d痊愈,分析为留置硬膜外管损伤硬脊膜所致。

Cerebrospinal fluid leak after epidural needle puncture followed by postoperative epidural analgesia is extremely rare. This paper reports two patients with healthy body previously, without spine deformity and puncturing successfully. It was apparent of finding no signs of spinal anesthesia. After 2 days of puncturing followed by postoperative epidural analgesia, colorless fluid was noted under the epidural site dressing. It was cerebrospinal fluid from testing positive .The patients feel no discomfort, and they recovered from compression bandage of epidural puncture site approximately 6 days later. It maybe caused by the epidural trauma from indwelling catheter.