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动脉内注射丁丙诺啡继发急性手部缺血:用伊洛前列素和低分子右旋糖酐-40治疗——病例报告

Acute hand ischemia secondary to intraarterial buprenorphine injection: treatment with iloprost and dextran-40--a case report.

作者信息

Gouny P, Gaitz J P, Vayssairat M

机构信息

Department of Vascular Surgery, Tenon Hospital, Paris, France.

出版信息

Angiology. 1999 Jul;50(7):605-6. doi: 10.1177/000331979905000711.

DOI:10.1177/000331979905000711
PMID:10432001
Abstract

Intraarterial injection may result in acute ischemia and amputation. The authors describe the case of a 27-year-old man with an acute hand ischemia following intraarterial injection of a suspension of buprenorphine. Despite its initial severity, this case was successfully treated with iloprost, a stable prostacyclin analogue, and dextran-40, a low-molecular-weight dextran.

摘要

动脉内注射可能导致急性缺血和截肢。作者描述了一名27岁男性在动脉内注射丁丙诺啡悬浮液后发生急性手部缺血的病例。尽管最初病情严重,但该病例通过使用稳定的前列环素类似物伊洛前列素和低分子右旋糖酐右旋糖酐-40成功得到治疗。

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1
Acute hand ischemia secondary to intraarterial buprenorphine injection: treatment with iloprost and dextran-40--a case report.动脉内注射丁丙诺啡继发急性手部缺血:用伊洛前列素和低分子右旋糖酐-40治疗——病例报告
Angiology. 1999 Jul;50(7):605-6. doi: 10.1177/000331979905000711.
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Severe acute hand ischemia following an accidental intraarterial drug injection, successfully treated with thrombolysis and intraarterial Iloprost infusion. Case report.
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[Acute ischemia after intraarterial drug injection].动脉内药物注射后急性缺血
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Management of intra-arterial injection injury with iloprost.伊洛前列素治疗动脉内注射损伤
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An effective treatment protocol for intraarterial drug injection.一种有效的动脉内药物注射治疗方案。
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引用本文的文献

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The incidence, significance, and management of accidental intra-arterial injection: a narrative review.意外动脉内注射的发生率、意义和处理:叙述性综述。
Can J Anaesth. 2019 May;66(5):576-592. doi: 10.1007/s12630-019-01327-6. Epub 2019 Mar 15.
2
Ischemic Hand Complications From Intra-Arterial Injection of Sublingual Buprenorphine/Naloxone Among Patients With Opioid Dependency.阿片类药物依赖患者动脉内注射舌下含服丁丙诺啡/纳洛酮所致的手部缺血性并发症
Hand (N Y). 2017 Sep;12(5):507-511. doi: 10.1177/1558944716672198. Epub 2016 Oct 3.
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A review of buprenorphine diversion and misuse: the current evidence base and experiences from around the world.
丁丙诺啡转移与滥用综述:当前的证据基础及全球经验
J Addict Med. 2014 Sep-Oct;8(5):315-26. doi: 10.1097/ADM.0000000000000045.
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Unrecognized hand ischemia after intraarterial drug injection: successful management of a "near miss" event.动脉内药物注射后未被识别的手部缺血:成功处理一起“险些发生的严重事故”。
Patient Saf Surg. 2008 Dec 9;2(1):32. doi: 10.1186/1754-9493-2-32.