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静脉使用麻醉和镇静药物后的血栓性静脉炎:其发病率及自然病程。

Thrombophlebitis after intravenous use of anesthesia and sedation: its incidence and natural history.

作者信息

Driscoll E J, Gelfman S S, Sweet J B, Butler D P, Wirdzck P R, Medlin T

出版信息

J Oral Surg. 1979 Nov;37(11):809-15.

PMID:290773
Abstract

A number of technical and clinical conditions reportedly associated with diazepam-related thrombophlebitis were investigated. Diazepam alone and in combination with fentanyl and methohexital was administered intravenously to 519 healthy, predominantly young adult patients undergoing routine oral surgery for removal of third molars. Indirect evidence is provided to show that two slightly different vasculopathies are involved: thrombophlebitis, in which pain and induration are both present but in which there is a slight delay in the time of inception of the condition; and phlebothrombosis, in which the reaction is almost immediate but pain is not significant and induration of the vein is the predominant feature. The overall incidence was 2.3% for thrombophlebitis and 9.8% for phlebothrombosis. There were four significant variables associated with phlebothrombosis: use of tobacco, use of oral contraceptives, multiple injections of diazepam, and pain during injection. The only significant variable associated with thrombophlebitis was the site of injection.

摘要

对一些据报道与地西泮相关血栓性静脉炎有关的技术和临床情况进行了调查。将地西泮单独以及与芬太尼和甲己炔巴比妥联合静脉注射给519名主要为年轻成年的健康患者,这些患者正在接受拔除第三磨牙的常规口腔手术。有间接证据表明涉及两种略有不同的血管病变:血栓性静脉炎,疼痛和硬结均存在,但病情开始时间略有延迟;静脉血栓形成,反应几乎立即出现,但疼痛不明显,静脉硬结是主要特征。血栓性静脉炎的总体发生率为2.3%,静脉血栓形成的总体发生率为9.8%。与静脉血栓形成相关的有四个显著变量:吸烟、使用口服避孕药、多次注射地西泮以及注射时疼痛。与血栓性静脉炎相关的唯一显著变量是注射部位。

相似文献

1
Thrombophlebitis after intravenous use of anesthesia and sedation: its incidence and natural history.静脉使用麻醉和镇静药物后的血栓性静脉炎:其发病率及自然病程。
J Oral Surg. 1979 Nov;37(11):809-15.
2
Venous complications of intravenous diazepam.静脉注射地西泮的静脉并发症。
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Prospective study of venous complications following intravenous diazepam in dental outpatients.牙科门诊患者静脉注射地西泮后静脉并发症的前瞻性研究。
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Incidence and extent of venous sequelae with intravenous diazepam utilizing a standardized conscious sedation technique. Part II: Effects of injection site.采用标准化清醒镇静技术静脉注射地西泮后静脉后遗症的发生率及程度。第二部分:注射部位的影响。
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Complications of intravenous diazepam. An overall assessment of 16,000 cases and detailed studies of 6,000 cases.静脉注射地西泮的并发症。对16000例病例的总体评估及对6000例病例的详细研究。
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引用本文的文献

1
Saline flush: a simple method of reducing diazepam-induced thrombophlebitis.生理盐水冲洗:一种减轻地西泮所致血栓性静脉炎的简单方法。
J R Soc Med. 1982 Apr;75(4):231-3. doi: 10.1177/014107688207500404.
2
Incidence of thrombophlebitis in humans with the diazepam vehicle.使用地西泮溶媒的人群中血栓性静脉炎的发生率。
Anesth Prog. 1982 Nov-Dec;29(6):168-9.
3
Prospective study of venous complications following intravenous diazepam in dental outpatients.牙科门诊患者静脉注射地西泮后静脉并发症的前瞻性研究。
Anesth Prog. 1981 Sep-Oct;28(5):126-8.
4
Reduction of venous complications of intravenous diazepam.减少静脉注射地西泮的静脉并发症。
Anesth Prog. 1985 Nov-Dec;32(6):241-3.
5
Prevention of venous complications from intravenous anesthesia.预防静脉麻醉引起的静脉并发症。
Anesth Prog. 1987 Jan-Feb;34(1):3-5.
6
Pharmacological methods and research issues in the management of the adult patient.成年患者管理中的药理学方法与研究问题
Anesth Prog. 1986 Jan-Feb;33(1):14-7.