Suluraju Chitra, Yusof Alidahani Mohamad
MD, MMed (Family Medicine), Klinik Kesihatan Petaling Bahagia, Jalan Puchong, Kuala Lumpur, Wilayah Persekutuan Kuala Lumpur, Malaysia.
MBBS, MMed (Family Medicine), Klinik Kesihatan Petaling Bahagia, Jalan Puchong, Kuala Lumpur, Wilayah Persekutuan Kuala Lumpur, Malaysia.
Malays Fam Physician. 2024 Sep 18;19:55. doi: 10.51866/cr.313. eCollection 2024.
Injuries to the cervical spine following phlebotomy have not been reported in the literature. Herein, we report the case of a 27-year-old lady with major depressive disorder and trypanophobia who experienced a syncopal episode during a blood test, resulting in a C2 Hangman's fracture. After the application of a halo vest, she recovered without any long-term pain or neurological impairments. The concept of needle phobia is important for healthcare professionals to understand, since patients' fear of needles can lead to detrimental injuries during panic attacks. Greater attention should be paid to alleviate this fear, with the ultimate goals of improving health and preventing unwanted injuries following phlebotomy.
文献中尚未报道过静脉穿刺后发生颈椎损伤的情况。在此,我们报告一例27岁患有重度抑郁症和针头恐惧症的女性病例,她在一次血液检测过程中发生晕厥,导致C2椎弓根骨折。在佩戴头环背心后,她康复且未出现任何长期疼痛或神经功能障碍。针头恐惧症这一概念对医护人员来说很重要,因为患者对针头的恐惧可能会在惊恐发作时导致有害损伤。应更加重视缓解这种恐惧,最终目标是改善健康状况并防止静脉穿刺后出现意外损伤。