Goutos I, Cogswell L K, Giele H
Department of Plastic and Reconstructive Surgery, John Radcliffe Hospital, Headington, Oxford, UK
Department of Plastic and Reconstructive Surgery, John Radcliffe Hospital, Headington, Oxford, UK.
J Hand Surg Eur Vol. 2014 Oct;39(8):808-18. doi: 10.1177/1753193413511921. Epub 2014 Jan 8.
Extravasation injuries are common emergencies in clinical practice. If they are not recognized and treated promptly, they can lead to deleterious functional and cosmetic outcomes. There is a vast range of agents involved in these injuries and marked paucity of evidence to support their specific management. Following an extensive literature review, we outline management principles for clinicians involved in the care of patients with extravasation injuries. Key parameters in deciding appropriate management plans include the volume/toxicity of the agent, the necrosis interval of the injury, patient-related factors, as well as the facilities and expertise available in the setting of individual cases of extravasation.
外渗性损伤是临床实践中常见的急症。如果未能及时识别和治疗,可能会导致有害的功能和外观后果。导致这些损伤的药物种类繁多,而支持其具体管理的证据明显不足。在进行广泛的文献综述后,我们概述了参与外渗性损伤患者护理的临床医生的管理原则。决定适当管理计划的关键参数包括药物的剂量/毒性、损伤的坏死间隔、患者相关因素,以及个别外渗病例情况下可用的设施和专业知识。