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題名 | Post Dural Puncture Headanche in Cesarean Section: Comparison of 25-Gauge Whitacre with 25- and 26-Gauge Quincke Needles=剖腹產病人之脊髓麻醉後頭痛--Whitacre 25號與Quincke 25及26 號脊髓穿刺針之比較 |
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作者姓名(中文) | 黃忠章; 何善臺; 王志中; 劉杭生; | 書刊名 | 麻醉學雜誌 |
卷期 | 35:1 1997.03[民86.03] |
頁次 | 頁33-37 |
分類號 | 417.372 |
關鍵詞 | 麻醉:脊髓; 術後併發症:脊椎穿刺; 頭痛; 生產:剖腹; Anesthesia:spinal; Postoperative complication:spinal puncture; Headache; Delivery:cesarean section; |
語文 | 英文(English) |
中文摘要 | 一位二十四歲懷孕三十一週並有單一心室合併主動脈瓣膜狹窄的孕婦,因為子癲 前症及胎兒窘迫而住院以施行緊急剖腹生產。我們採用腰椎硬腦膜外腔麻醉做為剖腹生產時 的麻醉方式,並於術後給予術後止痛,母親和嬰兒平安出院。本文並對其他相關類似病歷的 文獻報告做一整理和討論。 |
英文摘要 | Background: Our previous study showed that there were no significant differences in the incidence of PDPH compared to Quincke spinal needles. Methods: We prospectively observed 94 spinal anesthesias for cesarean section performed during the period from May 1993 to July 1995. The 25-gauge Whitacre needles were used. In practice the insertion of needle was made through median line approach and the puncture was considered eligible only in one attempt. The PDPH was observed until its disappearance, and one without PDPH had also been observed for at least one week for likelihood of delayed occurence. The data were compared with those of our previous study regarding the use of 25-and 26-gauge Quincke needles in obstetric patients. All of the data were analyzed using the Fisher exact test. Results: The incidence of PDPH was 1.06%. In comparison there was no significant difference from that of 25-and 26-gauge Quincke needles (3.65% and 2.06%, respective). Only one case suffered from PDPH in the Whitacre group. It was mild and relieved with bed rest and hydration. Conclusions: Although the difference was not statistically significant, the 25-and 26-gauge Quincke needles did. |
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