星状神経節ブロック後の頸部・縦隔血腫例

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タイトル別名
  • A Case of Cervical and Mediastinal Hematoma after Stellate Ganglion Block
  • 臨床 星状神経節ブロック後の頸部・縦隔血腫例
  • リンショウ ホシジョウ シンケイセツ ブロック ゴ ノ ケイブ ・ ジュウカク ケッシュレイ

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We encountered a case of a cervical and mediastinal hematoma after a stellate ganglion block (SGB) which had been performed on a 64-year-old man with trigeminal herpetic pain. Thirty minutes after the first SGB, he noticed a swelling on his neck, which worsened gradually. Computed tomography revealed a hematoma extending in the retropharyngeal space from the cervical to the mediastinal area. We removed the hematoma via a transcervical approach and performed a tracheostomy. He underwent decannulation 5 days after the operation, and was discharged from hospital 16 days postoperatively. A cervical and mediastinal hematoma occurring after an SGB is a rare complication, but it causes airway obstruction and necessitates emergency airway management.<br>

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