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首页> 外文期刊>The Journal of maternal-fetal medicine >Pneumocephalus following inadvertent intrathecal puncture during epidural anesthesia: a case report and review of the literature.
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Pneumocephalus following inadvertent intrathecal puncture during epidural anesthesia: a case report and review of the literature.

机译：硬膜外麻醉期间鞘内意外穿刺后的气脑炎：一例病例并文献复习。

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摘要

Regional anesthesia techniques (epidural and spinal) are preferred anesthetic modalities in modern obstetrics, in that both of these modalities enable maternal participation in the delivery process and assist in avoiding maternal aspiration associated with general anesthesia. We report an unusual and potentially severe complication of epidural anesthesia for elective repeat cesarean delivery. Following intravenous hydration and lateral uterine displacement, uneventful epidural anesthesia was administered. Toward the end of the otherwise uneventful cesarean the patient, who had been completely stable, became unresponsive, with dilated pupils that did not respond to light. The patient was immediately intubated and gradually regained consciousness and was extubated within 1 h. Cranial computed tomography disclosed pneumocephalus. Inadvertent pneumocephalus is reviewed.
机译：在现代产科中，区域麻醉技术（硬膜外和脊柱麻醉）是首选的麻醉方式，因为这两种方式都能使产妇参与分娩过程，并有助于避免与全身麻醉有关的产妇误吸。我们报告了选择性重复剖宫产术中硬膜外麻醉的异常和潜在的严重并发症。静脉补液和子宫外侧移位后，进行硬膜外硬膜外麻醉。在原本平稳的剖宫产快要结束时，已经完全稳定的患者变得无反应，瞳孔扩大，对光无反应。立即给患者插管，并逐渐恢复意识，并在1小时内拔管。颅骨计算机断层扫描显示肺积气。回顾了无意性肺积气。

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