连续硬膜外镇痛后发生严重皮肤炎性反应一例报告  

作　　者：Kareem Eltaki, MD Heba Abdulla, MD Raymond S. Sinatra, MD, PhD 杨冯睿(译) 

机构地区：[1]Department of Anesthesiology, Yale University School of Medicine, New Haven, Connecticut [2]SUNY Downstate Medical Center, Department of Dermatology, Brooklyn, New York [3]不详

出　　处：《麻醉与镇痛》2009年第2期81-83,共3页Anesthesia & Analgesia

摘　　要：消毒液、胶带或者导管本身所引起的皮肤反应是留置硬膜外导管时的一种非常罕见，但又十分重要的危险因素。本文报道了一例经腹会阴联合手术的患者术后连续硬膜外镇痛发生的严重皮肤炎性反应。我们强调正确诊断和及时有效处理的重要性。A very rare, but important, risk factor in placement of epidural catheters is skin reactions to the antiseptic solution, adhesive tape, or the catheter itself. We describe a case of a severe inflammatory cutaneous reaction after continuous epidural analgesia used after an abdominal perineal resection. We highlight the importance of making the proper diagnosis and initiating timely therapy.

关 键 词：连续硬膜外镇痛 皮肤炎性反应 留置硬膜外导管 腹会阴联合手术 皮肤反应 危险因素 正确诊断 消毒液 

分 类 号：R714.3[医药卫生—妇产科学] R730.53[医药卫生—临床医学]