Ploner M, Löffel L M, Schüpfer G, Besmer I, Konrad C J
Klinik für Anästhesie, Rettungsmedizin und Schmerztherapie, Kantonsspital Luzern, Luzern 16, Luzern, Schweiz.
Universitätsklinik für Anästhesiologie und Schmerztherapie, Inselspital, Freiburgstrasse, 3010, Bern, Schweiz.
Anaesthesist. 2018 Mar;67(3):204-208. doi: 10.1007/s00101-018-0408-7. Epub 2018 Jan 19.
Medication errors are frequent and a serious safety concern. Chlorhexidine (CHX) is used daily in healthcare as a disinfectant. Its accidental intravascular injection is scarcely described. Serious complications, such as acute respiratory distress syndrome (ARDS) could be a consequence. We describe a case of central venous administration of 0.1% CHX mouthwash, its potential complications and possibilities of treatment. In contrast to another case report our patient had no detectable adverse side effects. The immediate hemofiltration and cleansing of the i. v. line may have contributed to this favorable outcome.
用药错误很常见，是一个严重的安全问题。洗必泰（CHX）在医疗保健中每天用作消毒剂。其意外血管内注射的情况鲜有描述。严重并发症，如急性呼吸窘迫综合征（ARDS）可能是其后果。我们描述了一例0.1%CHX漱口水经中心静脉给药的病例、其潜在并发症及治疗方法。与另一例病例报告不同的是，我们的患者没有可检测到的不良副作用。即时血液滤过和静脉管路清洗可能促成了这一良好结果。
