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首页> 外文期刊>Pediatric blood & cancer >Intraspinal and intracranial hemorrhage after lumbar puncture.
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Intraspinal and intracranial hemorrhage after lumbar puncture.

机译：腰穿后脊柱内和颅内出血。

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摘要

Two cases of spinal epidural hematoma and two cases of intracranial subdural hematoma after lumbar puncture (LP) are reported in children receiving chemotherapy for acute lymphoblastic leukemia and non-Hodgkin lymphoma. The bleeding was asymptomatic but interfered with treatment in one case, and caused either severe backache or headache but no neurological deficit in the other three patients. The platelet counts were 8 and 46 x 10(9)/L in two patients and were normal in the other patients at the time of LP. All recovered without surgical treatment. There is an inherent, albeit uncommon, risk of bleeding into the central nervous system associated with LP in children with cancer and should be distinguished from postdural puncture headache (PDPH). Thrombocytopenia is not always an accompanying factor.
机译：据报道，接受急​​性淋巴细胞白血病和非霍奇金淋巴瘤化疗的儿童中有2例脊柱硬膜外血肿和2例腰穿（LP）后颅内硬膜下血肿。出血无症状，但有1例干扰了治疗，在其他3例患者中没有引起严重的腰酸或头痛，但没有神经功能缺损。在LP时，两名患者的血小板计数分别为8和46 x 10（9）/ L，其他患者均正常。全部恢复，无需手术治疗。患癌症的儿童存在与LP相关的中枢神经系统出血的固有风险，尽管不常见，应与硬膜后穿刺头痛（PDPH）区别开来。血小板减少症并非总是伴随因素。

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