Ozbek Serhat
Uludag Universitesi Tip Fakultesi Plastik ve Rekonstruktif Cerrahi Anabilim Dali, El Cerrahisi Bilim Dali, Bursa, Turkey.
Ulus Travma Derg. 2002 Oct;8(4):256-8.
A 26 year old women with a history of drug intoxication was taken to intensive care unit and had an ischemic, hand injury due to insufficient collateral low after placement of a radial artery catheter. Ischemic hand injury 1 occurred 36 hours after the cannulation. The patient had fingers gangrene in spite of the removal of the catheter, elevation and heating of the hand, systemic anticoagulation therapy, stellate ganglion blockade, and peripheral circulatory regulator therapy. Any evidence of hand ischemia after radial artery cannulation should be aggressively investigated and promptly treated in order to prevent morbidity and necrosis of the hand. Key Words: Radial artery cannulation, Ischemic hand injury.
一名有药物中毒史的26岁女性被送入重症监护病房，在桡动脉置管后因侧支循环不足而发生手部缺血性损伤。缺血性手部损伤1发生在置管后36小时。尽管拔除了导管、抬高并加热手部、进行了全身抗凝治疗、星状神经节阻滞以及外周循环调节治疗，但患者仍出现手指坏疽。桡动脉置管后出现任何手部缺血的迹象都应积极检查并及时治疗，以防止手部出现并发症和坏死。关键词：桡动脉置管；缺血性手部损伤
