轻度椎体骨折迟发脊髓硬膜外血肿致截瘫2例报告
梁晓松;王学丽;陈君生;
摘要(Abstract):
<正>椎管内血肿分为硬膜外血肿、硬膜下血肿、蛛网膜下血肿、髓内血肿。其中最常见为硬膜下血肿,最常见部位为胸腰段,椎管内硬膜外血肿多发现在椎管后方。其在临床上比较少见,国外统计其发病率约0.1/10 000[1]。硬膜外血肿造成脊髓神经压迫症状虽然少见,却不容忽视,对于轻度的椎体骨折,不可因
关键词(KeyWords): 脊柱骨折/并发症;血肿;硬膜外/截瘫
基金项目(Foundation):
作者(Author): 梁晓松;王学丽;陈君生;
Email:
DOI:
参考文献(References):
- [1]Holt?s S,Heiling M,L?nntoft M.Spontaneous spinal epidural hematoma:findings at MR imaging and clinical correlation[J].Radiology,1996,199:409-413.
- [2]任力.外伤性急性硬膜外血肿穿刺治疗分析[J].中国误诊学杂志,2006,6(4):674-675.
- [3]Peck MJ,Retter A,Karuppasamy P,et al.Vertebral canal haematoma and coagulopathy[J].British J Anaesthesia,2011,106(4):604-605.
- [4]Bampoe S,De Silva S,Scott M.Prolonged motor block following epidural anaesthesia:a proposed pathway for investigation and management to facilitate rapid MRI scanning to exclude vertebral canal haematoma[J].J Perioperative Practice,2017,27(1-2):20-24.
- [5]Yu JX,Hong T,Ma YJ,et al.A new type of spinal epidural arteriovenous fistulas causes spinal epidural hemorrhage:an analysis of five cases and natural history consideration[J].World Neurosurg,2017,103(2):371-379.
- [6]张文武,姚晓光,申勇.腰椎间盘突出症二次手术原因和处理的研究进展[J].中国矫形外科杂志,2014,22(5):430-433.
- [7]Kobayashi K,Imagama S,Ando K,et al.Acute non-traumatic idiopathic spinal subdural hematoma:radiographic findings and surgical results with a literature review[J].Eur Spine J,2017,26(11):2739-2743.
- [8]Lagerkranser M,Lindquist C.Neuraxial blocks and spinal haematoma:Review of 166 cases published 1994-2015.Part 2:diagnosis,treatment,and outcome[J].Scand J Pain,2017,15(1):130-136.