• 文献检索
  • 文档翻译
  • 深度研究
  • 学术资讯
  • Suppr Zotero 插件Zotero 插件
  • 邀请有礼
  • 套餐&价格
  • 历史记录
应用&插件
Suppr Zotero 插件Zotero 插件浏览器插件Mac 客户端Windows 客户端微信小程序
定价
高级版会员购买积分包购买API积分包
服务
文献检索文档翻译深度研究API 文档MCP 服务
关于我们
关于 Suppr公司介绍联系我们用户协议隐私条款
关注我们

Suppr 超能文献

核心技术专利:CN118964589B侵权必究
粤ICP备2023148730 号-1Suppr @ 2026

文献检索

告别复杂PubMed语法,用中文像聊天一样搜索,搜遍4000万医学文献。AI智能推荐,让科研检索更轻松。

立即免费搜索

文件翻译

保留排版,准确专业,支持PDF/Word/PPT等文件格式,支持 12+语言互译。

免费翻译文档

深度研究

AI帮你快速写综述,25分钟生成高质量综述,智能提取关键信息,辅助科研写作。

立即免费体验

肌肉注射后需要重症监护的脓毒症:两例病例报告。

Sepsis requiring intensive care following intramuscular injections: two case reports.

作者信息

Velissaris Dimitrios, Matzaroglou Charis, Kalogeropoulou Christina, Karamouzos Vassilios, Filos Kriton, Karanikolas Menelaos

机构信息

Department of Anaesthesiology and Critical Care Medicine, Patras University Hospital, Rion 26500, Greece.

出版信息

Cases J. 2009 Aug 18;2:7365. doi: 10.4076/1757-1626-2-7365.

DOI:10.4076/1757-1626-2-7365
PMID:19918523
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2769353/
Abstract

INTRODUCTION

Intramuscular injections can rarely result in serious infectious complications such as abscesses which may progress to bacteraemia and generalized sepsis. These complications are rare, but can be life threatening, as they can lead to multi-organ failure associated with high morbidity and mortality.

CASE PRESENTATION

In this report we present two patients who developed life-threatening infections after intramuscular injections. They were admitted to the hospital, had prompt surgical drainage, required ICU admission for severe sepsis, were treated with an early goal-directed therapy protocol and had a good outcome.

CONCLUSION

Sepsis is a rare, potentially life-threatening complication after intramuscular injections. Timely surgical drainage followed by appropriate ICU care and early goal directed therapy is crucial and may contribute to a good outcome in these rare cases.

摘要

引言

肌肉注射极少会导致严重的感染并发症,如脓肿,脓肿可能会发展为菌血症和全身性败血症。这些并发症虽罕见,但可能危及生命,因为它们会导致与高发病率和死亡率相关的多器官功能衰竭。

病例报告

在本报告中,我们介绍了两名在肌肉注射后发生危及生命感染的患者。他们入院后,迅速接受了手术引流,因严重败血症需要入住重症监护病房(ICU),接受了早期目标导向治疗方案,最终预后良好。

结论

败血症是肌肉注射后一种罕见的、潜在的危及生命的并发症。及时进行手术引流,随后给予适当的重症监护和早期目标导向治疗至关重要,这可能有助于这些罕见病例获得良好的预后。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7205/2769353/400f6c8f0535/1757-1626-0002-0000007365-004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7205/2769353/5dc095710235/1757-1626-0002-0000007365-001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7205/2769353/81c99e779d45/1757-1626-0002-0000007365-002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7205/2769353/2a1160fdc8c5/1757-1626-0002-0000007365-003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7205/2769353/400f6c8f0535/1757-1626-0002-0000007365-004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7205/2769353/5dc095710235/1757-1626-0002-0000007365-001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7205/2769353/81c99e779d45/1757-1626-0002-0000007365-002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7205/2769353/2a1160fdc8c5/1757-1626-0002-0000007365-003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7205/2769353/400f6c8f0535/1757-1626-0002-0000007365-004.jpg

相似文献

1
Sepsis requiring intensive care following intramuscular injections: two case reports.肌肉注射后需要重症监护的脓毒症:两例病例报告。
Cases J. 2009 Aug 18;2:7365. doi: 10.4076/1757-1626-2-7365.
2
Sepsis Care Pathway 2019.2019年脓毒症护理路径
Qatar Med J. 2019 Nov 7;2019(2):4. doi: 10.5339/qmj.2019.qccc.4. eCollection 2019.
3
[Serious complications of injections--retrospective analysis of incidences, complication-management, prophylaxis and economic aspects].[注射的严重并发症——发病率、并发症管理、预防及经济方面的回顾性分析]
Zentralbl Chir. 2005 Apr;130(2):162-9. doi: 10.1055/s-2005-836490.
4
Survival analysis of 314 episodes of sepsis in medical intensive care unit in university hospital: impact of intensive care unit performance and antimicrobial therapy.大学医院医学重症监护病房314例脓毒症发作的生存分析:重症监护病房性能及抗菌治疗的影响
Croat Med J. 2006 Jun;47(3):385-97.
5
Impact of adequate empirical antibiotic therapy on the outcome of patients admitted to the intensive care unit with sepsis.充分的经验性抗生素治疗对脓毒症入住重症监护病房患者预后的影响。
Crit Care Med. 2003 Dec;31(12):2742-51. doi: 10.1097/01.CCM.0000098031.24329.10.
6
Outcome of patients with scleroderma admitted to intensive care unit. A report of nine cases.入住重症监护病房的硬皮病患者的结局。9例报告。
Clin Exp Rheumatol. 2006 Jul-Aug;24(4):380-6.
7
[Intramuscular injections--an outdated form of administration? 6 cases of Staphylococcus aureus sepsis following intramuscular injections].
Schweiz Med Wochenschr. 1995 Aug 8;125(31-32):1477-82.
8
Surgical intensive care - current and future challenges?外科重症监护——当前及未来的挑战?
Qatar Med J. 2020 Jan 13;2019(2):3. doi: 10.5339/qmj.2019.qccc.3. eCollection 2019.
9
Low sensitivity of qSOFA, SIRS criteria and sepsis definition to identify infected patients at risk of complication in the prehospital setting and at the emergency department triage.qSOFA、SIRS 标准和脓毒症定义对识别院前环境和急诊科分诊中感染风险患者的并发症的敏感性较低。
Scand J Trauma Resusc Emerg Med. 2017 Nov 3;25(1):108. doi: 10.1186/s13049-017-0449-y.
10
Variability in intensive care unit admission among pregnant and postpartum women in Canada: a nationwide population-based observational study.加拿大围产期女性重症监护病房入院率的差异:一项全国性基于人群的观察性研究。
Crit Care. 2019 Nov 27;23(1):381. doi: 10.1186/s13054-019-2660-x.

引用本文的文献

1
Injection site abscesses associated with commensal and environmental bacteria following intramuscular vaccination in horses.马匹肌肉注射疫苗后与共生菌和环境细菌相关的注射部位脓肿
Vet Anim Sci. 2025 Jul 25;29:100484. doi: 10.1016/j.vas.2025.100484. eCollection 2025 Sep.
2
Anatomical Ignorance Resulting in Iatrogenic Causes of Human Morbidity.解剖学知识的欠缺导致人类发病的医源性原因。
Cureus. 2024 Mar 19;16(3):e56480. doi: 10.7759/cureus.56480. eCollection 2024 Mar.
3
Development of Retroperitoneal Abscess Following Routine Injection of Triamcinolone for Musculoskeletal Pain.

本文引用的文献

1
Necrotizing fasciitis following intramuscular diclofenac injection.肌肉注射双氯芬酸后发生坏死性筋膜炎。
J Eur Acad Dermatol Venereol. 2008 Dec;22(12):1521-2. doi: 10.1111/j.1468-3083.2008.02670.x. Epub 2008 Mar 13.
2
Causes of death and determinants of outcome in critically ill patients.危重症患者的死亡原因及预后决定因素
Crit Care. 2006;10(6):R154. doi: 10.1186/cc5086.
3
Images in clinical medicine. Methicillin-resistant Staphylococcus aureus abscess after intramuscular steroid injection.
常规注射曲安奈德治疗肌肉骨骼疼痛后腹膜后脓肿的发生
Eur J Case Rep Intern Med. 2023 Jul 29;10(8):003988. doi: 10.12890/2023_003988. eCollection 2023.
4
Post-COVID-19 vaccination shoulder abscess and pleuroparenchymal pulmonary lesion due to .新冠疫苗接种后肩部脓肿及因……导致的胸膜实质肺部病变
IDCases. 2022;27:e01457. doi: 10.1016/j.idcr.2022.e01457. Epub 2022 Feb 21.
5
Intramuscular Injection Abscess Due to VRSA: A New Health Care Challenge.耐万古霉素金黄色葡萄球菌导致的肌内注射脓肿:一项新的医疗挑战。
Arch Bone Jt Surg. 2016 Jun;4(3):277-81.
N Engl J Med. 2006 Aug 17;355(7):713. doi: 10.1056/NEJMicm062498.
4
[Serious complications of injections--retrospective analysis of incidences, complication-management, prophylaxis and economic aspects].[注射的严重并发症——发病率、并发症管理、预防及经济方面的回顾性分析]
Zentralbl Chir. 2005 Apr;130(2):162-9. doi: 10.1055/s-2005-836490.
5
31-year-old injection drug user with massive skin necrosis and shock.一名31岁的注射吸毒者,伴有大面积皮肤坏死和休克。
Dermatology. 2003;206(2):169-71. doi: 10.1159/000068458.
6
Skin necrosis following injection of non-steroidal anti-inflammatory drug.
Br J Anaesth. 2002 Jan;88(1):139-40. doi: 10.1093/bja/88.1.139.
7
Early goal-directed therapy in the treatment of severe sepsis and septic shock.早期目标导向治疗在严重脓毒症和脓毒性休克治疗中的应用
N Engl J Med. 2001 Nov 8;345(19):1368-77. doi: 10.1056/NEJMoa010307.
8
Necrotizing fasciitis due to Streptococcus pneumoniae after intramuscular injection of nonsteroidal anti-inflammatory drugs: report of 2 cases and review.肌肉注射非甾体类抗炎药后由肺炎链球菌引起的坏死性筋膜炎:2例报告及文献复习
Clin Infect Dis. 2001 Sep 1;33(5):740-4. doi: 10.1086/322592. Epub 2001 Aug 6.
9
Imaging of soft tissue infections.软组织感染的影像学检查
Radiol Clin North Am. 2001 Mar;39(2):277-303. doi: 10.1016/s0033-8389(05)70278-5.
10
The SOFA (Sepsis-related Organ Failure Assessment) score to describe organ dysfunction/failure. On behalf of the Working Group on Sepsis-Related Problems of the European Society of Intensive Care Medicine.用于描述器官功能障碍/衰竭的序贯器官衰竭评估(SOFA)评分。代表欧洲重症监护医学学会脓毒症相关问题工作组。
Intensive Care Med. 1996 Jul;22(7):707-10. doi: 10.1007/BF01709751.