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自我动脉内注射哌醋甲酯和二氢吗啡酮后发生的缺血。一例动脉内使用尿激酶治疗的病例报告及文献综述。

Ischaemia following selfadministered intra-arterial injection of methylphenidate and diamorphine. A case report of treatment with intra-arterial urokinase and review.

作者信息

Corser G, Masey S, Jacob G, Kernoff P, Browne D

出版信息

Anaesthesia. 1985 Jan;40(1):51-4. doi: 10.1111/j.1365-2044.1985.tb10503.x.

DOI:10.1111/j.1365-2044.1985.tb10503.x
PMID:3970339
Abstract

A patient presented with a painful, oedematous, cyanosed hand having injected a solution of diamorphine and methylphenidate into his radial artery. Treatment was started with heparin and vasodilators. Benefit from this was limited and a course of intra-arterial urokinase was instituted. This gave almost total resolution of the injury. The mechanisms producing ischaemia following intra-arterial injection of drugs of abuse and possible treatment are discussed.

摘要

一名患者将海洛因和哌醋甲酯溶液注入桡动脉后,手部出现疼痛、水肿、发绀。开始使用肝素和血管扩张剂进行治疗。但效果有限,随后进行了动脉内尿激酶治疗。这几乎完全消除了损伤。本文讨论了动脉内注射滥用药物后产生缺血的机制及可能的治疗方法。

相似文献

1
Ischaemia following selfadministered intra-arterial injection of methylphenidate and diamorphine. A case report of treatment with intra-arterial urokinase and review.自我动脉内注射哌醋甲酯和二氢吗啡酮后发生的缺血。一例动脉内使用尿激酶治疗的病例报告及文献综述。
Anaesthesia. 1985 Jan;40(1):51-4. doi: 10.1111/j.1365-2044.1985.tb10503.x.
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Successful thrombolysis and spasmolysis of acute leg ischemia after accidental intra-arterial injection of dissolved flunitrazepam tablets.急性腿部缺血意外动脉内注射舒乐安定片后溶栓和血管痉挛缓解。
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The main line accidental intra-arterial drug injection.主要系意外动脉内药物注射。
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Hyperbaric oxygen therapy for ischaemia of the hand due to intra-arterial injection of methadone and flunitrazepam.高压氧治疗因动脉内注射美沙酮和氟硝西泮导致的手部缺血
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[Acute ischemia after intraarterial drug injection].动脉内药物注射后急性缺血
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Accidental intra-arterial drug injection successfully treated with Iloprost.伊洛前列素成功治疗意外动脉内药物注射
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Acute ischemia of the hand following intra-arterial oxymetazoline injection.动脉内注射羟甲唑啉后手部急性缺血
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引用本文的文献

1
ACCIDENTAL INTRA-ARTERIAL DRUG INJECTION: A Case Report.意外动脉内药物注射:一例报告
Med J Armed Forces India. 1997 Apr;53(2):137-139. doi: 10.1016/S0377-1237(17)30686-X. Epub 2017 Jun 26.
2
Local thrombolytic infusion in arterial ischemia of the upper limb: mid-term results.上肢动脉缺血的局部溶栓灌注:中期结果
Cardiovasc Intervent Radiol. 1994 Mar-Apr;17(2):81-6. doi: 10.1007/BF00193922.