http://chineseinput.net/에서 pinyin(병음)방식으로 중국어를 변환할 수 있습니다.
변환된 중국어를 복사하여 사용하시면 됩니다.
공기를 이용한 저항소실법으로 요부 경막외 천자시 뇌척수액의 누출없이 경막하에 발생한 기뇌증
임승모 외 중앙대학교 의과대학 의과학연구소 2008 中央醫大誌 Vol.33 No.1,2
We reported a case of epidural anesthesia in a patient presenting for varicocelectomy and sclerotherapy. An epidural puncture was done at the L4-5 intervertebral space with the loss of resistance technique using air. There was no CSF leakage during the procedure. One hour later, she complained of a sudden severe headache, with no neurologic symptoms. The headache was localized at the occipital area and its nature was constant, squeezing, and non-throbbing. Headache was aggravated and localized at the frontal area after the surgery. A brain CT disclosed subdural pneumocephalus at the frontal and prepontine area. Twelve hours after the event, she was discharged without any specific complaints. To avoid pneumocephalus during epidural puncture, saline instead of air is highly recommended. If physicians use air, a small volume should be used and careful evaluation of the patients condition during injection.