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題 名 | Postpartum Unilateral Horner's Syndrome Following Lumbar Epidural Anesthesia after a Cesarean Delivery=剖腹產使用腰椎硬脊膜外腔麻醉後併發單側Horner氏症候群 |
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作 者 | 黃樹欽; 林敬峰; 羅良明; 彭翠瑾; 蔡榮財; | 書刊名 | 長庚醫學 |
卷 期 | 27:8 2004.08[民93.08] |
頁 次 | 頁624-628 |
分類號 | 417.372 |
關鍵詞 | 腰椎硬脊膜外腔麻醉; Horner氏症候群; 產後 a眼瞼下垂; Postpartum; Horner's syndrome; Ptosis; Lumber epidural anesthesia; |
語 文 | 英文(English) |
中文摘要 | 我們擬告一例產科腰椎硬脊膜外腔麻醉後,引發單例Homer氏症候群。一位32歲健康的產婦因臀位而接受常規剖腹產。整個開刀過程庚人生命徵狀正常。手術歷時50分鐘。在恢復室,病人主訴左邊鼻塞,左臉顎麻痺及左眼皮沈重,同時發覺母嬰吸吮訓練時,左乳頭吸奶沒有感覺。理學檢查發現在眼瞼下垂及左臉潮紅;左半臉及上手臂感覺遲鈍,這些症狀於110分鐘後完全解除。因此被診斷為單側Homer氏症候群。典型良性的副作用常可自發性解除,但卻常造成病人及醫護人員的憂慮。若能提早確立此症候群是多因硬脊膜外腔麻醉引起,就可避免一些不必要、昂貴或可能危險性的檢查及測試,同時醫生與病人即可較為安心。病人於發生此症狀後,第5天出院,預後良好。 |
英文摘要 | We report on a case demonstrating unilateral Homer’s syndrome (HS) after lumbar epidural obstetric anesthesia. A healthy, 32- year-old woman with a breech presentation was scheduled for an elective Cesarean section. The patient had normal vital signs throughout the surgical procedure. The operation lasted for 50 min. In the recovery room, she complained of left nasal stuffiness, left cheek numbness, and heaviness in her left eye. Meanwhile, left nipple sensory loss was noted during baby suckling training. On physical examination, her left eyelid was droopy along with left-side ptosis and facial flushing. Reduced sensation over the left hemifacial region and upper arm was also noted, which resolved completely over the next 110 min. adiagnosis of unilateral HS was then made. Although typically a benign side effect which often spontaneously resolves, HS is likely to cause anxiety in both the patient and the doctor. Prompt recognition of this symdrome and determination of its cause from lumbar epidural anesthesia can prevent unnecessary and potentially dangerous diagnostic workup and can reassure both patients and clinicians. Thepatient was discharged from the hospital 5 days after onset with a good outcome. |
本系統中英文摘要資訊取自各篇刊載內容。