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面部穿透伤后用过氧化氢冲洗导致广泛皮下气肿。

Massive Subcutaneous Emphysema after Hydrogen Peroxide Irrigation of a Penetrating Facial Injury.

机构信息

Department of Otolaryngology-Head and Neck Surgery, University of Arkansas for Medical Sciences, Little Rock, Arkansas, U.S.A.

Division of Pediatric Otolaryngology, Arkansas Children's Hospital, Little Rock, Arkansas, U.S.A.

出版信息

Laryngoscope. 2024 Jun;134(6):2954-2957. doi: 10.1002/lary.31237. Epub 2023 Dec 27.

DOI:10.1002/lary.31237
PMID:38149667
Abstract

We present the case of a child impaled in the face by a meat thermometer who subsequently suffered a significant complication due to the administration of hydrogen peroxide to the wound. The soft tissues of the face rapidly expanded and blanched, the child experienced mental status changes, and imaging revealed massive subcutaneous emphysema, pneumomediastinum, and pneumo-orbit. Herein we review the literature on this rare complication and provide photodocumentation in the hopes that other practitioners, patients, and parents avoid administering hydrogen peroxide into or near any penetrating injury. Laryngoscope, 134:2954-2957, 2024.

摘要

我们报告了一例儿童面部被体温计刺穿的病例,随后由于向伤口中使用双氧水,患儿出现了严重并发症。面部软组织迅速肿胀变白,患儿出现神志改变,影像学检查显示广泛皮下气肿、纵隔气肿和气腔眶内积气。本文复习了这一罕见并发症的文献,并提供了照片记录,希望其他医生、患者和家长避免在任何贯通伤中或其附近使用双氧水。《喉镜》,134:2954-2957, 2024.

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Laryngoscope. 2024 Jun;134(6):2954-2957. doi: 10.1002/lary.31237. Epub 2023 Dec 27.
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