近接治1例长时间静脉输入大剂量激素突然停药,引起马尾神经剧痛患者,报告如下。 患者 男,32岁。车祸头部致伤,昏迷30分钟伴呕吐,于1990年5月10日以脑挫裂伤收住院。一般检查仅面部皮肤有挫伤。神经系统检查:神志清楚,精神差,脑膜刺激征阳性,四肢运动感觉及反射均正常。头颅平片示右人字缝分离。予20％甘露醇250ml静脉点滴,每12小时1次,氟美松10mg每日2次。伤后第4天腰穿,血性脑脊液,压力1.96kPa。1周后脑脊液颜色变浅,压力0.49kPa。伤后持续用氟美松两周后停药,病情稳定。24小时后 Near treatment of a case of long-term intravenous infusion of large doses of hormone sudden withdrawal, causing cauda equina pain patients are reported below. Male patient, 32 years old. Car accident head injury, coma 30 minutes with vomiting, on May 10, 1990 with brain contusion injury hospital. General inspection only facial skin contusion. Neurological examination: conscious, poor spirit, positive meningeal sign, sensory and reflexes were normal limbs. Skull plain film shows the separation of the right character. To 20% mannitol 250ml intravenous drip once every 12 hours, 10 mg of dexamethasone 2 times a day. The fourth day after injury lumbar puncture, bloody cerebrospinal fluid, pressure 1.96kPa. After 1 week, cerebrospinal fluid became lighter and the pressure was 0.49 kPa. Continuous withdrawal with dexamethasone two weeks after injury withdrawal, stable condition. After 24 hours