自发性椎管内硬膜外血肿1例.doc

自发性椎管内硬膜外血肿1例
:脊柱硬膜外血肿(SEH)的原因多是由于凝血机能障碍、硬膜外肿瘤浸润、脊髓硬膜血管畸形、动脉粥样硬化、高血压、抗凝治疗、脊柱手术术后、硬膜外麻醉插管、诊断性穿刺和外伤所致的脊柱骨折或脱位等原因引起,无明显诱因出现的急性自发性颈椎硬膜外血肿非常少见,接诊无明显诱因SHE1例,报道如下。
关键词:自发性椎管内硬膜外血肿

In the spontaneous neurocanal outside the hard membrane haematoma 1 example
Su Xiaole
Abstract:Outside the spinal column hard membrane the haematoma (SEH) reason many after is because outside the hemoglutination function barrier,the hard membrane the tumor infiltration,the spinal cord hard membrane blood vessel abnormal,atherosclerosis,hypertension,the antifreeze treatment,spinal column surgery technique,outside the hard membrane anaesthetizes reasons and so on intubation,diagnosis puncture and flesh n bone fracture or dislocation causes,the not obvious cause appears outside the acute spontaneous cervical vertebra hard membrane the haematoma is extremely rare,the author meets examines the not obvious cause SHE1 example,the report as folloembrane haematoma
【】 【】B 【】1008-1879(2010)12-0125-01

脊柱硬膜外血肿(SEH)的原因多是由于凝血机能障碍、硬膜外肿瘤浸润、脊髓硬膜血管畸形、动脉粥样硬化、高血压、抗凝治疗、脊柱手术术后、硬膜外麻醉插管、诊断性穿刺和外伤所致的脊柱骨折或脱位等原因引起,无明显诱因出现的急性自发性颈椎硬膜外血肿非常少见,接诊无明显诱因SHE1例,报道如下。
1 临床资料
患者,男,27 岁,于2008-07-1802:07 以“颈项部酸痛10小时加剧3小时。”为主诉入院,10余小时前无明显诱因出现颈项部酸痛,当时无伴四肢疼痛、麻木等不适,自行颈项部按揉后有所减轻。3小时前出现颈项部酸痛再次加剧,伴双上肢轻微酸麻;无双下肢踩棉感、无胸腰部束带感、无胸闷、气促等不适,于凌晨02:07急诊我院,急诊科医师予颈椎正侧位X片后拟“颈部病变性质待查”收入院。入院后体检:℃,P80次/分,R19次/分,BP135/80mmHg;步行入院,神清,舌淡红,苔薄白