University of Miami Miller School of Medicine, Department of Emergency Medicine, Miami, Florida.
University of Miami Miller School of Medicine, Miami, Florida.
West J Emerg Med. 2020 Sep 25;21(6):179-189. doi: 10.5811/westjem.2020.6.46415.
The number of aesthetic surgical procedures performed in the United States is increasing rapidly. Over 1.5 million surgical procedures and over three million nonsurgical procedures were performed in 2015 alone. Of these, the most common procedures included surgeries of the breast and abdominal wall, specifically implants, liposuction, and subcutaneous injections. Emergency clinicians may be tasked with the management of postoperative complications of cosmetic surgeries including postoperative infections, thromboembolic events, skin necrosis, hemorrhage, pulmonary edema, fat embolism syndrome, bowel cavity perforation, intra-abdominal injury, local seroma formation, and local anesthetic systemic toxicity. This review provides several guiding principles for management of acute complications. Understanding these complications and approach to their management is essential to optimizing patient care.
美国进行的美容手术数量正在迅速增加。仅在 2015 年，就进行了超过 150 万次手术和超过 300 万次非手术。其中，最常见的手术包括乳房和腹壁手术，具体包括植入物、抽脂和皮下注射。急诊临床医生可能需要负责管理美容手术后的并发症，包括术后感染、血栓栓塞事件、皮肤坏死、出血、肺水肿、脂肪栓塞综合征、肠腔穿孔、腹部损伤、局部血清肿形成和局部麻醉全身毒性。本综述提供了一些管理急性并发症的指导原则。了解这些并发症及其处理方法对于优化患者护理至关重要。
