脑膜穿破后头痛与硬膜外自体血补丁
Journal of Clinical Anesthesiology(2013)
Abstract
脑膜穿破后头痛(meningeal puncture headache,MPH)是脑膜穿破后的常见并发症。本文介绍了MPH的机制、危险因素、诊断和治疗,特别讨论了硬膜外自体血补丁(autologous epidural blood patch,AEBP)的机制、操作过程、并发症、禁忌证和AEBP的预防作用。最后,用3个病例说明AEBP能明显缓解脑膜穿破后或自发性颅内低压性头痛的症状。
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Key words
Intracranial low pressure,Epidural blood patch,Headache,Meningeal puncture headache
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