Lie R L, Vermeer B J, Edelbroek P M
Department of Internal Medicine, University Hospital Leiden, The Netherlands.
J Am Acad Dermatol. 1990 Nov;23(5 Pt 2):1026-8. doi: 10.1016/0190-9622(90)70329-g.
A severe lidocaine intoxication by cutaneous absorption is described. Data are presented to show a significant absorption of lidocaine through diseased skin when lidocaine cream is used as a local anesthetic. Awareness of this route of intoxication might be important in patients in whom neurologic or psychiatric symptoms develop while large amounts of lidocaine cream are being used.
本文描述了一例因皮肤吸收导致的严重利多卡因中毒病例。数据表明,当利多卡因乳膏用作局部麻醉剂时,利多卡因可通过病变皮肤大量吸收。对于在使用大量利多卡因乳膏时出现神经或精神症状的患者,认识到这种中毒途径可能很重要。