Khan Z H, Faghihnassiri S
Department of Anesthesiology and Critical Care, Imam Khomeini Hospital, Tehran University of Medical Sciences, Tehran 14197-33141, Iran.
Saudi J Anaesth. 2016 Jul-Sep;10(3):342-4. doi: 10.4103/1658-354X.174916.
We report an accidental intra-arterial injection of phenytoin in a 43-year-old woman undergoing ventriculoperitoneal shunt for hydrocephalus. To flush the arterial line with heparin, mistakenly phenytoin was injected which caused cutaneous gangrene along the radial side of the forearm and an absence of pulsation in the radial artery. After flushing the artery with normal saline and lidocaine, the patient was transferred to the Intensive Care Unit. There the patient was put on intravenous heparin that resolved the problem leading to complete recovery of the patient. The case is being reported to emphasize the importance of close surveillance in injecting drugs through the arterial line access.
我们报告了一例在一名43岁因脑积水接受脑室腹腔分流术的女性患者中意外发生的动脉内注射苯妥英钠事件。为用肝素冲洗动脉管路，误注入了苯妥英钠，导致前臂桡侧皮肤坏疽以及桡动脉搏动消失。在用生理盐水和利多卡因冲洗动脉后，患者被转至重症监护病房。在那里，患者接受了静脉注射肝素治疗，问题得以解决，患者完全康复。报告该病例是为强调通过动脉管路通路注射药物时密切监测的重要性。
