...
  • 主题
高级搜索  >
历史搜索 清空历史
首页> 外文期刊>Acute pain: international journal of acute pain management >Severe neurological damage following epidural analgesia
【24h】

Severe neurological damage following epidural analgesia

机译：硬膜外镇痛后的严重神经系统损害

获取原文
获取原文并翻译 | 示例
           
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

Epidural abscess is a rare complication following epidural analgesia but can lead to severe and irreversible neurological damage. Diabetes is a risk factor for developing an epidural abscess. The diagnosis is usually straightforward provided the condition is considered. Suspicion should be raised in patients with back pain, fever and localised spinal or paraspinal tenderness: neurological deficit develops subsequently. All patients suspected of having an epidural abscess should have an MRI scan at the earliest opportunity. Conservative management may be considered but only after neurosurgical consultation. Decompressive laminectomy may be needed urgently. There may be considerable delay between the use of epidural analgesia and presentation of an abscess such that patients do not encounter an acute pain specialist. Consequently, it is important that Acute Pain Teams include discussion regarding the detection and management of this serious complication when training other perioperative clinicians.
机译：硬膜外脓肿是硬膜外镇痛后的罕见并发症，但可导致严重且不可逆的神经系统损害。糖尿病是发生硬膜外脓肿的危险因素。只要考虑到病情，诊断通常很简单。背痛，发烧和局部脊柱或脊柱旁压痛的患者应引起怀疑：随后会出现神经功能缺损。所有怀疑患有硬膜外脓肿的患者均应尽早进行MRI扫描。可以考虑保守治疗，但只能在神经外科会诊之后进行。迫切需要减压椎板切除术。在使用硬膜外镇痛药和出现脓肿之间可能会有相当大的延迟，以使患者不会遇到急性疼痛专家。因此，急性疼痛小组在培训其他围手术期临床医生时，应包括有关这种严重并发症的检测和处理的讨论，这一点很重要。

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱：kefu@zhangqiaokeyan.com

京公网安备：11010802029741号 ICP备案号：京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有

  • 客服微信

  • 服务号