脊椎手術後硬膜外血腫の検討

書誌事項

タイトル別名
  • Clinical Analysis of Postoperative Epidural Hematoma after Spinal Surgery
  • ―危険因子としての高血圧を中心に―

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Eight cases of postoperative epidural hematoma (PEH) were seen out of 1512 posterior spinal surgeries, and the incidence was 0.53%. In the period before blood pressure control with nicardipine hydrochloride was started, five cases of PEH were accompanied with blood hypertension over 160 mmHg. In the later period after blood pressure control was begun, two cases were suffered PEH due to bleeding, although they were treated conservatively. Blood pressure control with nicardipine hydrochloride after surgery is considered useful to prevent PEH, but emergency surgeries for patients using anticoagulants have potential risks of PEH even though postoperative blood pressure is controlled well.

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