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病例:女性,45岁。因腰痛一年来我院检查,X线平片示:腰椎_(3～4)椎间盘突出症。为进一步证实,决定行椎管造影。门诊静脉做碘过敏试验阴性。常规局麻,病人取头高足低位,选腰椎_(3～4)椎间隙穿刺,穿刺成功后放出脑脊液8ml,注入76％泛影葡胺12ml。15分钟后病人出现胸闷、心慌、四肢频繁抽搐,经用肾上腺素、安定、硫喷妥钠、地塞米松等治疗效果不佳,45分钟时呼吸与心跳停止,继而双侧瞳孔散大,经抢救曾恢复心跳,但无自主呼吸,用人工呼吸机维持,病人处深昏迷状态,于造影后12小时死亡。
Case: Female, 45 years old. Due to low back pain in our hospital for a year to check, X-ray showed: lumbar _ (3 ~ 4) disc herniation. To confirm further, decided to line spinal angiography. Outpatient intravenous iodine allergy test negative. Conventional local anesthesia, the patient take the first high enough low, selected lumbar _ (3 ~ 4) intervertebral puncture puncture success after the release of cerebrospinal fluid 8ml, injection of 76% diatrizoate meglumine 12ml. 15 minutes after the patient chest tightness, palpitation, extremities frequent convulsions, with epinephrine, diazepam, thiopental, dexamethasone and other treatment ineffective, 45 minutes breathing and heartbeat, followed by bilateral mydriasis by Rescue had resumed heartbeat, but no spontaneous breathing, with artificial ventilator to maintain the patient in a deep coma state, 12 hours after the death of angiography.