Epidural hematoma occurred by massive bleeding intraoperatively in cesarean section after combined spinal epidural anesthesia -A case report-

被引：7

作者：

Chung, Ji-Hyun ^{[1
]}

Hwang, Jinhwan ^{[1
]}

Cha, Seung-Cheol ^{[1
]}

Jung, Taehyeng ^{[1
]}

Woo, Seong Chang ^{[1
]}

机构：

[1] Eulji Univ, Sch Med, Dept Anesthesiol & Pain Med, 1306,Dunsan 2 Dong, Daejeon 302799, South Korea

来源：

KOREAN JOURNAL OF ANESTHESIOLOGY | 2011年 / 61卷 / 04期

关键词：

Blood coagulation disorder; Cesarean section; Epidural anesthesia; Epidural hematoma; Postpartum hemorrhage; Spinal anesthesia;

D O I：

10.4097/kjae.2011.61.4.336

中图分类号：

R614 [麻醉学];

学科分类号：

100217 ;

摘要：

We describe a case of acute lumbar epidural hematoma at the L2-3 level complicated by paraplegia, which occurred after coagulation disorder because of massive bleeding intraoperatively in cesarean section. The preoperative coagulation laboratory finding was in normal range and so we tried combined spinal epidural anesthesia. Uterine atony occurred in the operation, and there was persistant bleeding during and after the operation. After the operation, she complained of paresthesia on her both legs and was diagnosed with epidural hematoma (EDH) by radiologic examination. Emergency laminectomy on lumbar spine was carried out for hematoma evacuation and decompression of the epidural space at once. In our experience, massive bleeding during surgery may potentially increase the risk of EDH postoperatively.

引用

页码：336 / 340

页数：5

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