患者 ,女 ,35岁。因阑尾切除术行硬膜外阻滞 ,首次硬外穿刺时穿破硬膜 ,后更换椎间隙穿刺置管行硬外麻成功。手术顺利 ,术后第 3天患者初次起床时晕倒 ,继而出现剧烈头痛 ,尤以后颈部为甚 ,腰及下肢沉重、乏力不适 ,不敢转身及坐起 ,被动转身或扶起时呈痛苦面容、尖叫流泪。不 Patient, female, 35 years old. Due to appendectomy epidural block, the first hard puncture piercing the dura, after the replacement of intervertebral space puncture cannula line of epidural success. The operation was successful. On the third day after operation, the patient collapsed for the first time and then developed severe headache. Especially after the neck was very severe. The waist and lower extremities were heavy, weak and uncomfortable, unable to turn around and sit up, and turned or raised involuntarily Face, screaming and tears. Do not