人為造成硬脊膜外腔導管阻塞的原因－－病例報告

A Man-Made Obstruction of the Epidural Catheter -A Case Report

當執行硬脊膜外腔止痛術時，硬脊膜外腔導管阻塞是令人討厭及困擾的問題。這位55歲的女性，在執行廣泛性子宮切除術後接受硬脊膜外腔止痛術’但因我們未能將硬脊膜外腔導管完全地置入導管接頭內而造成導管阻塞。我們分析了此種人為導致導管阻塞的原因，並強調當發生硬脊膜外腔導管阻塞時，首先要做的步驟就是檢查導管是否完全地置入導管接頭內。這是執行硬脊膜外腔止痛術的標準程序但卻常常被麻醉醫師所忽略。

Obstruction of the epidural catheter is an annoying and troubling complication when we practice epidural analgesia. Here we present a female patient suffering from cervical cancer, who, while radical hysterectomy finished, experienced obstruction of the epidural catheter because the catheter was not inserted to full length into the connector. We analyzed this man-made obstruction of the epidural catheter and emphasized the position of the catheter into the connector must be checked first when the epidural catheter obstruction was present. It should be a standard procedure when we practice epidural analgesia but often being neglected by anesthesiologists.