脂肪坏死作为脊柱侧弯手术俯卧位的一种并发症。
Lip necrosis as a complication of a prone position in scoliosis surgery.
作者信息
Alsiddiky Abdulmonem
机构信息
Orthopedic Department, College of Medicine, King Saud University, Riyadh, Saudi Arabia.
出版信息
Sultan Qaboos Univ Med J. 2011 May;11(2):273-5. Epub 2011 May 15.
Abstract
During the prone positioning of patients for scoliosis surgery, bony prominences should be protected to avoid pressure necrosis and the face should be carefully positioned to protect the eyes and ears, etc. The author reports a lower lip necrosis in a 16 year-old female as a complication of improper prone positioning during scoliosis surgery. The condition was treated successfully with an advancement flap.
摘要
在脊柱侧弯手术患者俯卧位时，应保护骨隆突以避免压迫性坏死，并且应小心摆放面部以保护眼睛、耳朵等。作者报告了一名16岁女性患者因脊柱侧弯手术中俯卧位摆放不当出现下唇坏死的并发症。该病症通过推进皮瓣成功治愈。
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本文引用的文献
1
Anaesthesia in the prone position.俯卧位麻醉。
Br J Anaesth. 2008 Feb;100(2):165-83. doi: 10.1093/bja/aem380.
2
A foam-cushion face mask and a see-through operation table: a new set-up for face protection and increased safety in prone position.
Br J Anaesth. 2007 Oct;99(4):597-8. doi: 10.1093/bja/aem248.
3
Visual loss in a prone-positioned spine surgery patient with the head on a foam headrest and goggles covering the eyes: an old complication with a new mechanism.一名在俯卧位脊柱手术中头部置于泡沫头枕且眼睛戴着护目镜的患者出现视力丧失：一种具有新机制的旧并发症。
Anesth Analg. 2007 May;104(5):1185-7, tables of contents. doi: 10.1213/01.ane.0000264319.57758.55.
4
Pressure sore on malar prominences by horseshoe headrest in prone position.
Anaesth Intensive Care. 2007 Apr;35(2):304-5.
5
Prone position frame.
Surgery. 1950 Feb;27(2):276-9.
6
Contact dermatitis after the use of the PronePositioner.使用俯卧位固定器后发生的接触性皮炎。
Anesth Analg. 2003 Dec;97(6):1706-1708. doi: 10.1213/01.ANE.0000087061.76236.92.
7
[THREATENING NECROSIS OF THE TIP OF THE TONGUE DURING LONG-TERM ANESTHESIA IN PRONE POSITION].[俯卧位长期麻醉期间舌尖的威胁性坏死]
Anaesthesist. 1964 Jul;13:241.
8
One solution to the problem of the prone position for surgical procedures.手术操作中俯卧位问题的一种解决方案。
Anesth Analg. 1974 Mar-Apr;53(2):221-4.
9
New kneeling attachment and cushioned face rest for spinal surgery.用于脊柱手术的新型跪姿附件和带衬垫的面部支撑装置。
Neurosurgery. 1987 Feb;20(2):266-9. doi: 10.1227/00006123-198702000-00011.
10
The prone position for the surgical patient: a historical review of the principles and hazards.外科患者的俯卧位：原则与风险的历史回顾
Br J Anaesth. 1991 Oct;67(4):452-63. doi: 10.1093/bja/67.4.452.
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