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可达龙外渗致类似伏克曼氏综合征

Cordarone Extravasation Inducing Volkmann's-like Syndrome.

作者信息

Simoni Paolo, Scarciolla Laura, Maréchal Carole, Mustapha Selma Ben, Zobel Bruno Beomonte

机构信息

Service of MSK imaging, University Hospital of Liege (CHU), Domain du Sart Tilman Bat. 45, 4000-B Liege, Belgium.

Departement of Radiology, University Campus Bio-medico, Via Alvaro del Portillo, 200, 00128 Rome, Italy.

出版信息

Cardiol Res. 2011 Dec;2(6):307-309. doi: 10.4021/cr120w. Epub 2011 Nov 20.

DOI:10.4021/cr120w
PMID:28352402
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5358262/
Abstract

We report a case of Volkmann's-like syndrome occurred after an extravasation of 300 mg of cordarone administrated for a cardiac arrest.The day following the extravasation, an extensive necrosis of the skin and soft tissues occurred. The patient progressively developed a retraction of the muscles of her forearm. To the best of our knowledge this is first the reported case of an acute necrosis of the soft tissue inducing a Volkmann's-like retraction of the upper limb subsequent to a cordarone extravasation. The imaging findings are provided along with a review of the literature.

摘要

我们报告了一例在因心脏骤停静脉注射300毫克可达龙后发生渗漏而出现类似Volkmann综合征的病例。渗漏后的第二天,皮肤和软组织出现广泛坏死。患者前臂肌肉逐渐出现挛缩。据我们所知,这是首例报道的因可达龙渗漏导致上肢软组织急性坏死并引起类似Volkmann挛缩的病例。本文提供了影像学检查结果并对相关文献进行了综述。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1ad3/5358262/d888914c7959/cr-02-307-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1ad3/5358262/813cac7fc2e6/cr-02-307-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1ad3/5358262/d888914c7959/cr-02-307-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1ad3/5358262/813cac7fc2e6/cr-02-307-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1ad3/5358262/d888914c7959/cr-02-307-g002.jpg

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1
Cordarone Extravasation Inducing Volkmann's-like Syndrome.可达龙外渗致类似伏克曼氏综合征
Cardiol Res. 2011 Dec;2(6):307-309. doi: 10.4021/cr120w. Epub 2011 Nov 20.
2
[Neonatal Volkmann's syndrome].[新生儿福克曼综合征]
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[Tendon entrapment after forearm distal bones fracture, case report].
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本文引用的文献

1
Amiodarone induced skin necrosis.胺碘酮诱发皮肤坏死。
Heart. 2006 Oct;92(10):1395. doi: 10.1136/hrt.2005.086157.
2
Functional results after treatment of Volkmann's ischemic contracture: a long-term followup study.福克曼缺血性肌挛缩治疗后的功能结果:一项长期随访研究。
Clin Orthop Relat Res. 2005 Feb(431):42-9. doi: 10.1097/01.blo.0000154476.00181.3b.
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Volkmann's ischemic contracture. Prevention and treatment.Volkmann缺血性肌挛缩。预防与治疗。
Hand Clin. 2000 Nov;16(4):647-57.
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Volkmann's ischemic contracture of the upper extremity.上肢Volkmann缺血性挛缩
Hand Clin. 1998 Aug;14(3):483-97, x.
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Volkmann's ischemic contracture due to soft tissue injury alone.
J Hand Surg Am. 1976 Nov;1(3):221-7. doi: 10.1016/s0363-5023(76)80041-x.