Rautio R, Keski-Nisula L
Department of Radiology, Turku University Hospital, Turku, Finland.
Acta Radiol. 2006 Jul;47(6):554-8. doi: 10.1080/02841850600702184.
To evaluate the angiographic findings of patients who have inadvertently injected oral formulations of drugs into an upper extremity artery.
The radiology files for the previous 4 years were analyzed retrospectively. Seven patients were referred from the Emergency Department for angiography and possible thrombolysis during that time period.
The worst clinical results were found among the patients whose angiographic examinations showed absent flow. Two patients who were treated with local thrombolysis had no better results compared to the other five patients.
Findings of delayed flow and absent flow in angiography should lead to intensified conservative treatment, especially among patients who have clinical findings of delayed capillary refilling or/and impaired muscular strength.
评估意外将口服药物制剂注入上肢动脉的患者的血管造影表现。
回顾性分析过去4年的放射学档案。在此期间，有7名患者从急诊科转诊来进行血管造影及可能的溶栓治疗。
血管造影显示血流缺失的患者临床结果最差。与其他5名患者相比，接受局部溶栓治疗的2名患者并无更好的结果。
血管造影中出现血流延迟和血流缺失的表现应促使加强保守治疗，尤其是对于有毛细血管再充盈延迟或/和肌力受损临床表现的患者。
