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腰硬联合麻醉后头痛49例分析
引用本文:杨帆,许斌兵. 腰硬联合麻醉后头痛49例分析[J]. 现代临床医学, 2012, 38(5): 360-361
作者姓名:杨帆  许斌兵
作者单位:遂宁市中心医院,四川遂宁,629000
摘    要:目的:了解腰硬联合麻醉后头痛原因,为临床提供参考.方法:对49例腰硬联合麻醉后头痛进行回顾性分析,总结原因及治疗方法.结果:低颅压头痛44例(占89.79%),其中硬膜外针穿破硬膜12例,未发生穿破22例;颈源性头痛4例(占8.16%),偏头痛1例(占2.04%).结论:腰硬联合麻醉后头痛以低颅压头痛为主,但其他类型头痛也可发生,临床医生需对此鉴别.

关 键 词:腰硬联合麻醉  头痛  原因

Analysis of 49 Cases with Headache after Combining Spinal-Epidural Anesthesia
YANG Fan , XU Bin-bing. Analysis of 49 Cases with Headache after Combining Spinal-Epidural Anesthesia[J]. Journal of Modern Clinical Medicine, 2012, 38(5): 360-361
Authors:YANG Fan    XU Bin-bing
Affiliation:(Suining Central Hospital,Sichuan Suining 629000,China)
Abstract:Objective:To analyze the reasons of headache after combining spinal with epidural anesthesia.Methods:49 cases with headache after combining spinal with epidural anesthesia were analyzed retrospectively,the reasons and treatments were investigated.Results:There were 44 cases of low intracranial pressure(89.79%),12 cases were cross dura mater by puncture,22 cases were not cross dura mater by puncture,4 cases were cervicogenic headache,1 cases were migraine.Conclusion:Low intracranial pressure headache were mainly cause of headache after combining spinal with epidural anesthesia,clinician should discriminate.
Keywords:combined spinal-epidural anesthesia  headache  reason
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