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題名 | Bullous Eruptions Caused by Extravasation of Mannitol:A Case Report=Mannitol 外滲引起大水泡之病例報告 |
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作者 | 張國安; 姚文聲; 陸翔寧; 馮仕端; 李汝浩; | 書刊名 | 麻醉學雜誌 |
卷期 | 39:4 2001.12[民90.12] |
頁次 | 頁195-198 |
分類號 | 416.5 |
關鍵詞 | 藥物疹; 手術後併發症; 外滲; Mannitol; Drug eruptions; Postoperative complication; Extravasation; |
語文 | 英文(English) |
中文摘要 | 靜脈注射液外滲在麻醉中常會遇到,在此,我們報告一件罕見案例。病患因腦部手術麻醉中,接受mannitol靜脈注射而外滲引起手背及前臂之多處水泡病變。此乃因mannitol之高滲透壓所致。將患部舉高並以silver sulfadiazine每日敷兩次,使水泡在十天後全部消失。早期診斷及治療爲成功恢複正常之關健,文中將描述整個過程並討論應採取之預防措施。 |
英文摘要 | Extravasation is one of the common complications seen with intravenous infusion. We bring forward a case of subcutaneous mannitolextravasation, which caused swelling and multiple cutaneous bullous eruptions in the hand and forearm during craniotomy. Treatment consisting of elevation of the affected extremity and application of silver sulfadiazine ointment twice daily to the injured area was successful. The possible mechanisms relevant to extravasation and its tissue damage are reviewed and discussed. Selecting properintravenous infusion site, using pliable catheters and frequent inspection are important steps for prevention of extravasation. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。