Department of Emergency Medicine, Maimonides Medical Center, Brooklyn, NY, USA.
Department of Emergency Medicine, Maimonides Medical Center, Brooklyn, NY, USA.
Am J Emerg Med. 2019 Nov;37(11):2119.e1-2119.e2. doi: 10.1016/j.ajem.2019.158415. Epub 2019 Aug 24.
This is the case of a 23-year-old female with a past medical history of ADHD and Depression who was evaluated in the emergency department for perioral cyanosis and hypoxia after application of the eutectic mixture of lidocaine and prilocaine (EMLA) local anesthetic prior to a laser-assisted hair removal procedure. This report illustrates a case of methemoglobinemia which is a rare but significant complication of topical anesthetic use.
这是一位 23 岁女性的病例,她既往有注意力缺陷多动障碍和抑郁症病史,在激光脱毛术前使用了利多卡因和丙胺卡因的低共熔混合物(EMLA)局麻药后,因出现口周发绀和缺氧被收入急诊科评估。本报告说明了一例高铁血红蛋白血症,这是局部麻醉剂使用的罕见但严重的并发症。