脊椎麻酔下の帝王切開術後に急性硬膜下血腫を来した1例
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概要
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A rare case of a acute subdural hematoma occurring after spinal anesthesia was reported. A 29year-old, 38-week pregnant woman had undergone spinal anesthesia for a cesarean section and delivered a healthy baby. Appoxiately 24hrs later, sudden loss of consciousness was seen after her first rising from the bed. CT examination revealed a subdural hematoma, and an intracranial subdural hematoma was removed. Complete neurological recovery was obtained immediately after the operation. To our knowledge, only ten obstetric patients with subdural hematoma after spinal anesthesia heve been reported to date, and the prognosis was very poor. We reported a case in which immediate diagnosis and treatment was able to prevent permanent neurologic damage and death.
- 社団法人日本産科婦人科学会の論文
- 2000-12-01
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