经胸12腰1棘突间隙行硬膜外穿刺的风险及改进  

The risk and amendment of epidural puncture at T12-L1 interspinous space

作　　者：马凯 

机构地区：[1]南阳市宛城区第一人民医院麻醉科,河南南阳473000

出　　处：《医学争鸣》2016年第2期71-72,75,共3页Negative

摘　　要：经胸12腰1棘突间隙穿刺时,损伤脊神经的几率较大。对脊神经受损伤的病例进行分析,发现导致损伤的主要原因是在胸12腰1棘突间隙的硬膜外腔最狭小。因此,笔者认为,从解剖学和硬膜外穿刺的特点来说,胸12腰1棘突间隙不适合行硬膜外穿刺。There is a high probability of spinal cord injury when epidural puncture is performed at T12-L1 interspinous space.Based on the analysis regarding the reasons of spinal cord injury cases,the author holds that the main reason of spinal cord injury may be the narrow epidural space at T12-L1 interspinous space.From the anatomy and the characteristics of epidural puncture,T12-L1 interspinous space is unfit for epidural puncture.

关 键 词：棘突间隙 胸12腰1间隙 硬膜外穿刺 脊神经损伤 

分 类 号：R614[医药卫生—麻醉学]