[过氧化氢手术冲洗后发生严重空气栓塞]
[Severe air embolism after surgical irrigation with hydrogen peroxide].
作者信息
Donati S, Barthélémy A, Boussuges A, Gainnier M, Ayem M L, Romanet S, Sainty J M
机构信息
Service de Réanimation médicale et d'hyperbarie, Hôpital Salvator, Marseille.
出版信息
Presse Med. 1999 Jan 30;28(4):173-5.
BACKGROUND
Hydrogen peroxide is widely used for its antiseptic properties. In certain circumstances, however the risk of air embolism can create a life-threatening situation.
CASE REPORT
A 16-year-old adolescent required surgical treatment for femorotibial trauma. During the surgical procedure, cardiac arrest suddenly occurred when hydrogen peroxide was being used to irrigate the wound. A central catheter was inserted and aspiration of air bubbles in the line led to the diagnosis of air embolism. Outcome was unfavorable despite successful resuscitation. A chronic neurovegatative state ensued and the patient died 8 months later.
DISCUSSION
Several cases of air embolism have been described due to hydrogen peroxide in surgical, medical and accidental circumstances. Our case emphasizes the potential danger of using hydrogen peroxide in certain situations, including orthopedic surgery. Clinicians should be aware that hydrogen peroxide is not a perfectly safe product.
背景
过氧化氢因其防腐特性而被广泛使用。然而，在某些情况下，空气栓塞的风险可能会造成危及生命的情况。
病例报告
一名16岁青少年因股胫部创伤需要手术治疗。在手术过程中，当使用过氧化氢冲洗伤口时突然发生心脏骤停。插入中心导管并抽吸管路中的气泡后诊断为空气栓塞。尽管复苏成功，但结果不佳。随后出现慢性植物人状态，患者8个月后死亡。
讨论
在外科手术、医疗及意外情况下，已有数例因过氧化氢导致空气栓塞的病例报道。我们的病例强调了在某些情况下使用过氧化氢的潜在危险，包括骨科手术。临床医生应意识到过氧化氢并非完全安全的产品。
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