Ford Andrew M, Haywood Steven T, Gallo Douglas R
Department of Emergency Medicine, Summa Health - Akron City Hospital, Akron, OH, USA.
Case Rep Emerg Med. 2019 Apr 8;2019:6062531. doi: 10.1155/2019/6062531. eCollection 2019.
Injuries from cactus spines can present challenges to Emergency Medicine providers. When the patient has mental limitations that prevent cooperation with removal, these challenges grow. Traditional removal techniques have several drawbacks including prolonged time for complete removal and incomplete removal. We present the case of a 22-year-old with a history of low-functioning autism and congenital motor dysfunction with a cactus spine injury to a large surface area of her chest, abdomen, and extremities. Conscious sedation utilizing intramuscular ketamine and Operating Room (OR) hair removal mitts were utilized to quickly and effectively remove the cactus spines. The patient had efficient, painless resolution of her injury without need for additional spine removal.
仙人掌刺造成的损伤会给急诊医学工作者带来挑战。当患者存在精神方面的限制，无法配合进行刺的拔除时，这些挑战就会增加。传统的拔除技术有几个缺点，包括完全拔除所需时间长以及拔除不完全。我们报告一例22岁患者的病例，该患者有低功能自闭症和先天性运动功能障碍病史，其胸部、腹部和四肢的大面积区域被仙人掌刺扎伤。使用肌肉注射氯胺酮进行清醒镇静，并使用手术室脱毛手套快速有效地拔除了仙人掌刺。患者的损伤得到了有效且无痛的解决，无需进一步拔除刺。
