Experience of Epidural Blood Patch for Post-dural Puncture Headache

用硬脊膜外血片治療腰椎穿剌後頭痛

胡玉旺(Yuk-Wong Wu) ； 許汝寧(Yu-Ling Hui) ； 譚培炯(Peter P. C. Tan)

《Acta Anaesthesiologica Sinica》 32卷2期 (1994/06) Pp. 137-140

摘要

Post-dural puncture headache is a common outcome following either spinal or epidural anesthesia. Cases were collected within five years' period (1988-1992) in Keelung Chang Gung Memorial Hospital. Those cases with relief of post-dural puncture headache after conservative treatment were excluded. There were 159 cases, 128 female patients and 31 male patients. Age ranged from 16~63 yrs. Post-dural puncture headache was observed in 145 patients receiving spinal anesthesia and 14 patients receiving epidural anesthesia. Volume of autologous blood for epidural blood patch ranged from 10 to 20 ml. Effective rate was 98.15% upon single blood patch. Repeated blood patch was done in 3 cases. No complication was noted.

關鍵字

Post-dural puncture headache ； epidural autologous blood patch

並列摘要

腰椎穿刺後頭痛是脊髓穿刺麻醉常見後遺症之一。1988至1992五年中我們收集了159病例。用保守療法處理的病例排除在本報告之外。159個病例中有128位女性，31位男性。年齡分佈16～63歲。其中145位病人接受脊髓穿刺麻醉，14位病人接受硬脊膜外腔麻醉。硬脊膜外血片的自體血量是10〜20 ml。接受一次治療後症狀有明顯改善的病患佔98.15％，有3位病人接受第二次治療才有明顯改善。而可達到100％的成功率。術後無明顯後遺症，所以硬脊膜外血片是一種安全而且有效的治療方法。