요부경막천자후 발생된 두통치료 -자가혈액봉합 37예-

Autologous Epidural Blood Patch for the Treatment of Headache in Post-Dural Puncture -Report of 37 cases-

  • 이성근 (순천향대학병원 마취과학교실 통증치료실) ;
  • 김태정 (순천향대학병원 마취과학교실 통증치료실) ;
  • 김용익 (순천향대학병원 마취과학교실 통증치료실) ;
  • 김일호 (순천향대학병원 마취과학교실 통증치료실) ;
  • 송후빈 (순천향대학병원 마취과학교실 통증치료실) ;
  • 김순임 (순천향대학병원 마취과학교실 통증치료실) ;
  • 박욱 (순천향대학병원 마취과학교실 통증치료실) ;
  • 김성열 (순천향대학병원 마취과학교실 통증치료실)
  • Lee, Sung-Keun (Pain Clinic, Department of Anesthesiology, College of Medicine, Soon Chun Hyang University) ;
  • Kim, Tae-Jung (Pain Clinic, Department of Anesthesiology, College of Medicine, Soon Chun Hyang University) ;
  • Kim, Yong-Ik (Pain Clinic, Department of Anesthesiology, College of Medicine, Soon Chun Hyang University) ;
  • Kim, Il-Ho (Pain Clinic, Department of Anesthesiology, College of Medicine, Soon Chun Hyang University) ;
  • Song, Hoo-Bin (Pain Clinic, Department of Anesthesiology, College of Medicine, Soon Chun Hyang University) ;
  • Kim, Soon-Im (Pain Clinic, Department of Anesthesiology, College of Medicine, Soon Chun Hyang University) ;
  • Park, Wook (Pain Clinic, Department of Anesthesiology, College of Medicine, Soon Chun Hyang University) ;
  • Kim, Sung-Yell (Pain Clinic, Department of Anesthesiology, College of Medicine, Soon Chun Hyang University)
  • 발행 : 1998.05.30

초록

We performed the autologous epidural blood patch (AEBP) for the relief of headache and other related symptoms following dural punctures of the lumbar region during 8 years from 1981 to 1988. The total of 37 patients with the patching consisted of 9 cases in 3007 of spinal anesthesia, 12 accidental dural punctures in 4283 cases of lumbar epidural anesthesia, 12 cases in 4747 of epidural analgesia for back pain control, 3 cases of myelography and a case of diagnostic lumbar puncture. The headaches were relieved completely in 35 cases following the first AEBP and the remaining two were also relieved following the second AEBP. We think that the AEBP for postdural-puncture headache is the treatment of choice.

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