腰椎管内麻醉遇脂肪瘤1例

发布时间：2018-02-02 21:55

本文关键词： 椎管内麻醉腰椎间隙腰麻针左膝关节阑尾切除术生理弯曲膜下腔阻滞麻醉腰丛刺激器 　出处：《实用医学杂志》2015年22期 　论文类型：期刊论文

【摘要】：正患者女,72岁,身高152 cm,体重65 kg。因左膝关节闭合性损伤入院,拟在椎管内麻醉下行左膝关节清理术。患者自述1年前因阑尾切除术应用全身麻醉拔管后喉痉挛而惧怕全身麻醉,检查时发现腰部生理弯曲,腰椎间隙正常,拍腰椎X线片无异常。入室后患者右侧卧位,应用0.7 mm×90 mm腰麻针经L3~4行蛛网膜下腔穿刺,无脑脊液流出,改行L2~3蛛网膜下腔穿刺,亦无脑脊液流出。此时考虑患者椎管内可能存有异常,立即拔出穿刺针,放弃腰麻,在外周神经刺激器定位下行腰丛联合骶旁坐骨神经阻滞麻醉,顺利完成手术,术中预防性给予地塞米
[Abstract]:A 72-year-old female with a height of 152 cm and a weight of 65 kg was admitted to hospital because of closed injury of the left knee joint. The patient was afraid of general anesthesia after appendectomy with larynx spasm after general anesthesia. The patient found that the lumbar spine was physiologically bent and the lumbar intervertebral space was normal at the time of examination. There was no abnormal X-ray film of lumbar vertebrae. In the right lateral position, 0.7 mm 脳 90 mm lumbar anesthesia needle was used to puncture subarachnoid space through L3, no cerebrospinal fluid outflow. L2F3 subarachnoid puncture, no cerebrospinal fluid outflow. At this time consider the patient may have abnormal spinal canal, immediately pull out the puncture needle, give up spinal anesthesia. Lumbar plexus combined with paracral sciatic nerve block anesthesia under peripheral nerve stimulator, successfully completed operation, intraoperative prophylactic administration of disemide
【作者单位】：河北省承德市中心医院麻醉科;
【分类号】：R614
【正文快照】： 患者女,72岁,身高152 cm,体重65 kg。因左膝关节闭合性损伤入院,拟在椎管内麻醉下行左膝关节清理术。患者自述1年前因阑尾切除术应用全身麻醉拔管后喉痉挛而惧怕全身麻醉,检查时发现腰部生理弯曲,腰椎间隙正常,拍腰椎X线片无异常。入室后患者右侧卧位,应用0.7 mm×90 mm腰麻针

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