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首页> 外文期刊>Acta anaesthesiologica Taiwanica : >Spinal cord injury: A rare complication following thoracic epidural anesthesia for percutaneous nephrolithotomy
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Spinal cord injury: A rare complication following thoracic epidural anesthesia for percutaneous nephrolithotomy

机译：脊髓损伤：胸腔硬膜外麻醉后经皮肾镜取石术的罕见并发症

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摘要

AbstractHerein, we report a rare instance of paraplegia following percutaneous nephrolithotomy under thoracic epidural anesthesia in a conscious patient. The possible factors include low body mass index, chronic renal failure, and multiple “in and out” needle passes during the procedure. Direct cord trauma with epidural bloody collection resulted in the neurological damage. However, the patient did not show signs of spinal cord trauma during the needle injury, possibly due to a prior accidental subarachnoid block. This not only delayed the recognition of the disorder, but also delayed treatment, consequently resulting in permanent paraplegia. Careful monitoring after epidural blocking should be undertaken in order to allow the early detection of mismanagement and limit the extent of neurologic injury.
机译：摘要在这里，我们报道了在有意识的患者中，在胸腔硬膜外麻醉下经皮肾镜取石术后发生截瘫的罕见情况。可能的因素包括体重指数低，慢性肾功能衰竭以及在手术过程中多次“进出”针头。硬膜外血性采集造成的直接脊髓损伤导致神经系统损害。但是，该患者在针头受伤期间并未显示出脊髓外伤的迹象，这可能是由于先前的意外蛛网膜下腔阻滞所致。这不仅延迟了对该疾病的识别，而且延迟了治疗，因此导致永久性截瘫。硬膜外阻滞后应进行仔细的监测，以便及早发现管理不善并限制神经系统损伤的程度。

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