Huang Simon, Gateley David, Moss Anthony L H
Department of Plastic and Reconstructive Surgery, St. George's Hospital, London, England.
Arthroscopy. 2007 Dec;23(12):1363.e1-3. doi: 10.1016/j.arthro.2006.08.015. Epub 2007 Jan 5.
A case is described in which hot irrigation fluid used during a routine knee arthroscopy caused severe morbidity. The patient sustained full-thickness skin burns requiring debridement, a muscle flap, and split-skin grafting. The extent of the joint damage required fusion. The underlying factors included equipment failure but also a delay in appreciating the severity of the soft-tissue damage. This case highlights the need for a robust protocol for the management of warming the irrigation fluid, as well as monitoring the actual fluid temperature.
本文描述了一例在常规膝关节关节镜检查期间使用的热冲洗液导致严重发病的病例。患者遭受了全层皮肤烧伤，需要进行清创、肌皮瓣移植和分层皮片移植。关节损伤的程度需要进行融合手术。潜在因素包括设备故障以及对软组织损伤严重程度认识的延迟。该病例凸显了制定一套完善的冲洗液加温管理方案以及监测实际液体温度的必要性。
