Department of Pediatrics, All India Institute of Medical Science, Jodhpur, Rajasthan, India.
Department of Neurosurgery, All India Institute of Medical Science, Jodhpur, Rajasthan, India.
Indian J Pharmacol. 2019 Nov-Dec;51(6):407-409. doi: 10.4103/ijp.IJP_288_19. Epub 2020 Jan 16.
Mannitol has been the cornerstone of osmotherapy in the treatment of raised intracranial pressure for the past several decades. We discuss here a case of subcutaneous mannitol extravasation, leading to bullous eruptions and swelling in the forearm of a postoperative patient of arteriovenous malformation. We emphasize the importance of careful selection of peripheral intravenous catheter site, especially when infusing hypertonic solutions with propensity for subcutaneous leaks and tissue damage.
甘露醇在过去几十年中一直是颅内压升高治疗中渗透疗法的基石。我们在此讨论了一例术后动静脉畸形患者甘露醇外渗的病例,导致前臂出现水疱性皮疹和肿胀。我们强调了在外周静脉置管时仔细选择置管部位的重要性,尤其是在输注易发生皮下渗漏和组织损伤的高渗溶液时。