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一名婴儿的静脉输液外渗和乳胶过敏:早期识别是预防永久性残疾的关键。

IV Infiltration and Latex Allergy in an Infant: Early Recognition is Key to Prevent Lasting Disability.

作者信息

Lucke-Wold Brandon, Avula Roopa, Shah Neal, Borah Gregory, Shrader Carl

机构信息

Department of Neurosurgery, West Virginia University, School of Medicine, Morgantown, West Virginia, USA.

Department of Family Medicine, West Virginia University, School of Medicine, Morgantown, West Virginia, USA.

出版信息

Clin Pediatr Dermatol. 2017;3(1). doi: 10.21767/2472-0143.100028. Epub 2017 Sep 6.

DOI:10.21767/2472-0143.100028
PMID:29170761
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5697754/
Abstract

Latex allergy confounded by IV infiltration presents a serious problem for pediatric patients. If unrecognized, it can lead to serious neurologic deficits, loss of limb mobility, compartment syndrome, and ultimately lasting disability. Appropriate early recognition can prevent progression to these devastating outcomes. In this case report, we present an infant with IV infiltration and latex allergy. The case is used to highlight important clinical diagnostic criteria, treatment approaches, and how to prevent detrimental outcomes. We provide a detailed review of the literature and highlight the key teaching points in a reader-friendly reference table.

摘要

静脉输液渗漏并发乳胶过敏给儿科患者带来了严重问题。如果未被识别,可能会导致严重的神经功能缺损、肢体活动能力丧失、骨筋膜室综合征,并最终造成永久性残疾。早期的正确识别可防止病情发展至这些灾难性后果。在本病例报告中,我们介绍了一名发生静脉输液渗漏并患有乳胶过敏的婴儿。该病例用于强调重要的临床诊断标准、治疗方法以及如何预防不良后果。我们对文献进行了详细综述,并在一份便于读者阅读的参考表中突出了关键要点。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b526/5697754/6a0bafd874d3/nihms905848f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b526/5697754/6a0bafd874d3/nihms905848f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b526/5697754/6a0bafd874d3/nihms905848f1.jpg

相似文献

1
IV Infiltration and Latex Allergy in an Infant: Early Recognition is Key to Prevent Lasting Disability.一名婴儿的静脉输液外渗和乳胶过敏:早期识别是预防永久性残疾的关键。
Clin Pediatr Dermatol. 2017;3(1). doi: 10.21767/2472-0143.100028. Epub 2017 Sep 6.
2
Latex allergy in the workplace.工作场所中的乳胶过敏
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Latex allergy and latex-fruit syndrome among medical workers in Taiwan.
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Latex allergy.乳胶过敏。
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[Approaches to prevention and treatment of latex allergy].
Zh Mikrobiol Epidemiol Immunobiol. 2001 Nov-Dec(6):64-8.
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[Latex allergy.].
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Allergy to latex rubber.对乳胶橡胶过敏。
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本文引用的文献

1
Acute compartment syndrome of the upper extremity in children: diagnosis, management, and outcomes.儿童上肢急性骨筋膜室综合征:诊断、治疗及预后
J Child Orthop. 2013 Jun;7(3):225-33. doi: 10.1007/s11832-013-0492-9. Epub 2013 Mar 13.
2
[Histopathological differential diagnostics in context of joint implant allergic reactions].[关节植入物过敏反应背景下的组织病理学鉴别诊断]
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Acute compartment syndrome of the upper extremity.上肢急性间隔综合征。
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4
Compartment syndrome in children and adolescents.儿童和青少年的骨筋膜室综合征
J Pediatr Surg. 2005 Apr;40(4):678-82. doi: 10.1016/j.jpedsurg.2004.12.007.
5
Acute bullous eruption with compartment syndrome due to intravenous infiltration.因静脉内渗漏导致的伴有骨筋膜室综合征的急性大疱性皮疹。
Arch Dermatol. 2004 Jul;140(7):798-800. doi: 10.1001/archderm.140.7.798.
6
Latex allergy. Review of 44 cases including outcome and frequent association with allergic hand eczema.乳胶过敏。44例病例回顾,包括结局及与过敏性手部湿疹的常见关联。
Arch Dermatol. 1996 Mar;132(3):265-71. doi: 10.1001/archderm.132.3.265.
7
Allergy to latex rubber.对乳胶橡胶过敏。
Ann Intern Med. 1995 Jan 1;122(1):43-6. doi: 10.7326/0003-4819-122-1-199501010-00007.