慢性骨髓炎病灶清创术中过氧化氢冲洗后发生静脉气体栓塞

Venous gas embolism following hydrogen peroxide irrigation during debridement of chronic osteomyelitis lesion.

作者信息

Shukrimi A, Aminudin C A, Azril M A, Hadi M R A

机构信息

Department of Orthopaedics, Traumatology & Rehabilitation, Kulliyyah of Medicine, International Islamic University of Malaysia, Kuantan, Pahang, Malaysia.

出版信息

Med J Malaysia. 2006 Feb;61 Suppl A:88-90.

PMID:17042238

Abstract

We report a case of a previously healthy 53-year-old man who developed an intra-operative catastrophic event occurring in association with the use of hydrogen peroxide for wound irrigation following surgical debridement of a chronic osteomyelitis lesion of the humerus. It is our intention to highlight this potentially fatal consequence of hydrogen peroxide irrigation as part of bone debridement procedure. This case will serve as a reminder to orthopaedic surgeons who frequently use hydrogen peroxide in their surgical practice.

摘要

我们报告了一例病例，患者为一名53岁既往健康的男性，在对肱骨慢性骨髓炎病灶进行外科清创术后，使用过氧化氢进行伤口冲洗时发生了术中灾难性事件。我们旨在强调过氧化氢冲洗作为骨清创术一部分可能导致的致命后果。该病例将提醒在手术操作中经常使用过氧化氢的骨科医生。