Epidural needle hematoma

The direct cause of the formation of hematoma is the injury of the puncture needle, especially the insertion catheter, and the factors that promote bleeding, such as coagulation mechanism obstacle and anticoagulant therapy.

1. The prognosis depends on early diagnosis, and the surgical removal of hematoma within 8 hours is better. The delay of operation often leads to permanent disability. Therefore, the key of treatment is to obtain the opportunity to decompress as soon as possible.

2. Prevention Epidural anesthesia should be avoided in patients with coagulation disorders and who are using anticoagulant therapy; For general patients, epidural puncture and catheterization should be careful and gentle. In case of bleeding, normal saline can be used to gently rinse for many times, with a dosage of 5 ml each time. When the blood color of the reflux fluid becomes light, other anesthesia methods should be used.

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