CAJ | 학술논문

于2007年11月至2008年5月本院治疗自发性颅内低压患者6例.男女各3例,年龄33～66岁,病程6～35d.根据脊髓造影CT薄层扫描结果 ,对于单发脑脊液漏患者,选择脑脊液漏点所在脊髓节段以下1-2个椎体间隙为穿刺点,对于多发脑脊液漏患者,选择脑脊液漏较严重的节段.在C形臂X射线引导下硬膜外注射自体血与欧门派克(300g/100 ml)的混合液(容量比为3:1),使混合液覆盖脑脊液漏点所在节段.记录注射自体血过程中及注射自体血后不良反应的发生情况.治疗无效者于治疗后1周行下一次治疗.1例患者接受3次治疗;其余5例患者接受1次治疗.注射自体血过程中发生穿刺部位疼痛5例、上肢放射性疼痛2例、右腿麻木感2例,均自行缓解.注射自体血后未见不良反应发生,全部痊愈,随访2-6月未见复发.
우2007년11월지2008년5월본원치료자발성로내저압환자6례.남녀각3례,년령33～66세,병정6～35d.근거척수조영CT박층소묘결과 ,대우단발뇌척액루환자,선택뇌척액루점소재척수절단이하1-2개추체간극위천자점,대우다발뇌척액루환자,선택뇌척액루교엄중적절단.재C형비X사선인도하경막외주사자체혈여구문파극(300g/100 ml)적혼합액(용량비위3:1),사혼합액복개뇌척액루점소재절단.기록주사자체혈과정중급주사자체혈후불량반응적발생정황.치료무효자우치료후1주행하일차치료.1례환자접수3차치료;기여5례환자접수1차치료.주사자체혈과정중발생천자부위동통5례、상지방사성동통2례、우퇴마목감2례,균자행완해.주사자체혈후미견불량반응발생,전부전유,수방2-6월미견복발.
Six patients(3 male,3 female)aged 33-66 yr, Course of disease 6-35 days, diagnosed with spontaneous intracranial hypotemion in Sir Run Run Shaw Hospital from November 2007 to May 2008,Were treated with on epidural autologus blood patch trader X-ray guidance. According to the results of CT myelography. the puncture site Was chosen in the 1-2 vertebral interspaees below the site of a single eerebrospinal fluid leak. For patients with multiple cerebrospinal fluid leaks.the procedure was performed at the spinal cord segment of the most severe leak. The mixture of augous blood and Omnipaque(300g/100 ml)at a ratio of 2:1 was injected into the epidural space to cover the spinal cord segment of the leaks under C-arm fluoroscopic guidance.Side effects were recorded during and after the injection of autologus blood.The treatment was repeated one week later if the former one failed.One patient was treated with epidural blood patch 3 times.and the rest 5 patients were treated with epidural blood patch 1 time.During the injeetion of autologus blood,5 patients complained of pain in the purtclure site,2 experienced pain radiating to the upper limb,2 felt,numbness in the right leg and all of these syndromes could be self-relieved.No side effects were observed after the injection of autologus blood.All the patients were Cured and no recurrence was observed during a 2-6 month follow-up.