论文部分内容阅读
一患者因生殖器疱疹行急症剖腹产。患者发热,尿常规正常,体健,曾正常阴道分娩。左侧卧行腰麻,皮肤无局部感染,用酒精溶解的洗必泰消毒,在腰2～3间隙穿刺两次,针受阻,再次于腰3～4间隙穿刺成功,脑脊液(CSF)清亮,注射重比重布比卡因2ml,10分钟平面达胸4施剖腹产。术后患者良好,16小时后突然剧烈头痛,肌注罂粟碱20mg,6小时后又头痛伴恶心,畏光,由兴奋变困倦,体温39℃,颈强直,Kernig 氏征(+),需鉴
One patient had a caesarean section due to genital herpes emergencies. Patients with fever, normal urine, physical health, had normal vaginal delivery. Left lateral lying spinal anesthesia, no local skin infection, with chlorhexidine alcohol disinfection, puncture in the waist 2 to 3 puncture twice, the needle blocked, again in the waist 3 to 4 puncture success, clear cerebrospinal fluid (CSF) The proportion of injection of bupivacaine 2ml, 10 minutes plane up to 4 Cesarean section. Postoperative patients were good, sudden severe headache after 16 hours, intramuscular injection of papaverine 20mg, 6 hours and headache with nausea, photophobia, from excited to sleepiness, body temperature 39 ℃, neck stiffness, Kernig’s sign (+), required