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使用现代射频消融设备导致分散垫部位烧伤。

Dispersive pad site burns with modern radiofrequency ablation equipment.

作者信息

Steinke Karin, Gananadha Sivakumar, King Julie, Zhao Jing, Morris David Lawson

机构信息

Department of Surgery, UNSW, The St. George Hospital, Sydney, Australia.

出版信息

Surg Laparosc Endosc Percutan Tech. 2003 Dec;13(6):366-71. doi: 10.1097/00129689-200312000-00003.

DOI:10.1097/00129689-200312000-00003
PMID:14712096
Abstract

Pad burns during or after radiofrequency ablation (RFA) are a skin complication probably underreported in the literature. We report on 4 severe pad burns, deep second and third degree, in 3 patients undergoing radiofrequency ablation of liver malignancies, 1 percutaneously and the other 2 after laparotomy. All burns occurred at the leading edge or at the corner of the pads attached to the patients' thighs. Potential causes leading to the burns are discussed. Current dispersive pad designs do not prevent the leading edge phenomenon and subsequent burns. Further developmental work in the pad design with the possibility of skin temperature monitoring via temperature sensors under the leading pad edge is needed.

摘要

射频消融术(RFA)期间或之后发生的极板烧伤是一种皮肤并发症,可能在文献中报道不足。我们报告了3例接受肝脏恶性肿瘤射频消融术的患者发生的4例严重极板烧伤,为深二度和三度烧伤,其中1例为经皮消融,另外2例为剖腹术后消融。所有烧伤均发生在连接患者大腿的极板前缘或角落处。文中讨论了导致烧伤的潜在原因。目前的分散式极板设计无法防止前缘现象及随后的烧伤。需要在极板设计方面做进一步的研发工作,通过在极板前缘下方设置温度传感器来监测皮肤温度。

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1
Dispersive pad site burns with modern radiofrequency ablation equipment.使用现代射频消融设备导致分散垫部位烧伤。
Surg Laparosc Endosc Percutan Tech. 2003 Dec;13(6):366-71. doi: 10.1097/00129689-200312000-00003.
2
Sequential activation of multiple grounding pads reduces skin heating.多个接地垫的顺序激活可减少皮肤发热。
Conf Proc IEEE Eng Med Biol Soc. 2006;2006:675-8. doi: 10.1109/IEMBS.2006.260099.
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Prevention of dispersive pad skin burns during RFA by a simple method.通过一种简单方法预防射频消融术期间分散垫皮肤灼伤
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Variables affecting proper system grounding for radiofrequency ablation in an animal model.在动物模型中影响射频消融系统正确接地的变量。
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Peroneal neuropathy due to ground pad burn injury after a radiofrequency ablation surgery.射频消融术后因地面垫烧伤导致的腓总神经病变
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引用本文的文献

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Radiofrequency catheter ablation of cardiac arrhythmias: Don't get burned.心律失常的射频导管消融术:谨防灼伤。
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Magnetic Resonance Mediated Radiofrequency Ablation.磁共振引导下射频消融术。
IEEE Trans Med Imaging. 2018 Feb;37(2):417-427. doi: 10.1109/TMI.2017.2753739. Epub 2017 Sep 18.
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Skin Burn at the Site of Indifferent Electrode after Radiofrequency Catheter Ablation of AV Node for Atrial Fibrillation.房颤房室结射频导管消融术后无关电极部位皮肤灼伤
J Atr Fibrillation. 2008 Jul 16;1(2):88. doi: 10.4022/jafib.88. eCollection 2008 Jul-Aug.
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Incidence and Factors Predicting Skin Burns at the Site of Indifferent Electrode during Radiofrequency Catheter Ablation of Cardiac Arrhythmias.心律失常射频导管消融术中无关电极部位皮肤烧伤的发生率及预测因素
Cardiol Res Pract. 2016;2016:5265682. doi: 10.1155/2016/5265682. Epub 2016 Apr 24.
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Factors predicts skin ulcer following coronary artery bypass.因素预测冠状动脉搭桥术后皮肤溃疡。 (此译文不太符合正常表达习惯,原英文表述可能有误,推测正确表述可能是“Factors predicting skin ulcer following coronary artery bypass.”,正确译文为“预测冠状动脉搭桥术后皮肤溃疡的因素” )
J Med Life. 2014;7 Spec No. 2(Spec Iss 2):29-33.
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Complications of image-guided thermal ablation of liver and kidney neoplasms.肝脏和肾脏肿瘤的影像引导热消融并发症。
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