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术后压力性脱发与围手术期护理:一例报告

Postoperative Pressure-Induced Alopecia and Perioperative Care: A Case Report.

作者信息

Yun Yamei, Nian Chao, Liu Na

机构信息

Nursing, Plastic Surgery Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, CHN.

出版信息

Cureus. 2025 Jul 20;17(7):e88351. doi: 10.7759/cureus.88351. eCollection 2025 Jul.

DOI:10.7759/cureus.88351
PMID:40837896
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12362226/
Abstract

Postoperative pressure alopecia is a rare complication whose incidence is positively correlated with the duration of surgery. Here we showed a case about pressure alopecia one month after a lengthy operation. The patient suffered for the hair loss over her occiput measuring about 3 × 4 cm. This case reminds us that primary prevention of pressure alopecia is need to be emphasized, as this can minimize unnecessary distress to patients. We should pay attention to this kind of intraoperative complication, because it is entirely possible to prevent it from occurring through our practice.

摘要

术后压力性脱发是一种罕见的并发症,其发生率与手术时间长短呈正相关。在此,我们展示了一例长时间手术后一个月出现压力性脱发的病例。患者枕部出现约3×4厘米的脱发区。该病例提醒我们,需要强调对压力性脱发的一级预防,因为这可以将患者不必要的痛苦降至最低。我们应该关注这类术中并发症,因为通过我们的实际操作完全有可能预防其发生。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/66f8/12362226/081f8192a58a/cureus-0017-00000088351-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/66f8/12362226/f71d1f894c54/cureus-0017-00000088351-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/66f8/12362226/081f8192a58a/cureus-0017-00000088351-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/66f8/12362226/f71d1f894c54/cureus-0017-00000088351-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/66f8/12362226/081f8192a58a/cureus-0017-00000088351-i02.jpg

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本文引用的文献

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Reframing Filler-Induced Alopecia: Recognizing Pressure Alopecia as a Distinct Mechanism in Injectable Complications.重新认识填充物所致脱发:将压力性脱发视为注射并发症的一种独特机制
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Int J Trichology. 2022 Jan-Feb;14(1):17-20. doi: 10.4103/ijt.ijt_46_20. Epub 2022 Feb 1.
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Trichoscopic Findings in Pressure Alopecia: Report of Two Cases and Review of the Literature.
压力性脱发的毛囊镜检查结果:两例报告及文献复习
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Under pressure? Alopecia related to surgical duration.压力之下?与手术时长相关的脱发
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Can an "Aesthetic" Intervention (Braided Hair Coil) Cause Hair Loss After an Aesthetic Operation?美容手术后,一种“美学”干预措施(编织发圈)会导致脱发吗?
Aesthet Surg J. 2014 Jul;34(5):668-70. doi: 10.1177/1090820X14529302. Epub 2014 Jul 1.