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在一名意识不清的患者静脉输液期间,识别手环引发了急性骨筋膜室综合征。

Identification Bracelet Precipitated Acute Compartment Syndrome during Intravenous Infusion in an Obtunded Patient.

作者信息

Zafar Wahib, Chaucer Benjamin, Felek Suleyman, Arsura Edward L, Nfonoyim Jay

机构信息

Department of Medicine, Richmond University Medical Center, Staten Island, NY 10301, USA.

St. Georges University School of Medicine, 3500 Sunrise Highway, Great River, NY 11739, USA.

出版信息

Case Rep Crit Care. 2016;2016:8506357. doi: 10.1155/2016/8506357. Epub 2016 Jan 19.

DOI:10.1155/2016/8506357
PMID:26904308
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4745320/
Abstract

Acute compartment syndrome is a serious condition requiring immediate medical care. A lack of urgent medical treatment can result in serious complications such as loss of function and even amputation. While the pathophysiology of acute compartment syndrome is well understood, numerous potential causes are still being discovered. A rare cause of acute compartment syndrome is IV infiltration. We present a case of acute compartment syndrome resulting from intravenous infusion due to proximal placement of a patient identification bracelet. We conclude that both routine evaluation for IV infiltration and proximal placement of IV lines are essential for prevention of acute compartment syndrome.

摘要

急性骨筋膜室综合征是一种需要立即就医的严重病症。缺乏紧急治疗可能会导致诸如功能丧失甚至截肢等严重并发症。虽然急性骨筋膜室综合征的病理生理学已为人熟知,但仍不断发现许多潜在病因。急性骨筋膜室综合征的一种罕见病因是静脉内渗液。我们报告一例因患者识别手环放置位置过近导致静脉输液引起的急性骨筋膜室综合征病例。我们得出结论,对静脉内渗液进行常规评估以及静脉输液管路的近端放置对于预防急性骨筋膜室综合征至关重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/022a/4745320/a9d66e68a0f5/CRICC2016-8506357.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/022a/4745320/a9d66e68a0f5/CRICC2016-8506357.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/022a/4745320/a9d66e68a0f5/CRICC2016-8506357.001.jpg

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Infiltration of sodium valproate with compartment syndrome and bullous reaction: case report and literature review.丙戊酸钠浸润伴骨筋膜室综合征和大疱反应:病例报告及文献复习
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Pediatric compartment syndrome caused by intravenous infiltration.静脉输液渗漏所致小儿骨筋膜室综合征
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