Shah Bhavik Sandip, Yarbrough Chase, Price Amy, Biswas Rakesh
B. J. Medical College, Ahmedabad, Gujarat, India.
Brigham and Women's Hospital, Boston, Massachusetts, USA.
BMJ Case Rep. 2016 Mar 1;2016:bcr2015211127. doi: 10.1136/bcr-2015-211127.
Intramuscular injection has been used to administer medications for more than a hundred years. However, despite our profession's long experience with intramuscular administration, preventable complications such as injection nerve palsies are still prevalent in developing countries. Injections account for one-fifth of all traumatic nerve injuries. These injuries largely occur due to indiscriminate use of intramuscular injections for treating common illnesses, frequently by unlicensed or undertrained practitioners administering unnecessary treatment to impoverished patients. The sciatic nerve is the most commonly injured, and frequently the resulting muscle weakness and associated disability are irreversible. This case report includes a video of a patient with foot drop 6 weeks after gluteal intramuscular injection. Such injuries can be prevented by proper awareness and training, the implementation of safer injection techniques, and quality assurance methods.
肌肉注射用于给药已有一百多年的历史。然而,尽管我们这个行业在肌肉注射方面有着悠久的经验,但在发展中国家,诸如注射性神经麻痹等可预防的并发症仍然很普遍。注射导致的创伤性神经损伤占所有此类损伤的五分之一。这些损伤主要是由于在治疗常见疾病时滥用肌肉注射造成的,通常是由无执照或训练不足的从业者对贫困患者进行不必要的治疗。坐骨神经是最常受伤的神经,由此导致的肌肉无力和相关残疾往往是不可逆转的。本病例报告包括一段臀肌内注射6周后出现足下垂患者的视频。通过提高认识和进行培训、采用更安全的注射技术以及质量保证方法,可以预防此类损伤。