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[因意外动脉内注射哌醋甲酯(利他林)导致坏疽病例中使用的不同治疗方法]

[Different treatments used in a case of gangrene due to accidental intra-arterial injection of methylphenidate (rilatine)].

作者信息

De Myttenaere S, Heifetz M, Shilansky H, Monies I, Shramek A

出版信息

Anesth Analg (Paris). 1977 Mar-Apr;34(2):405-10.

PMID:71001
Abstract

A case of self-administrated injection of a solution of méthylphénidate (Rilatine) into the brachial artery is described. Intensive treatment which was started within 12 hours including repeated stellate blocks, intraarterial and intravenous injections of vasodilators and hyperbaric oxygen leaded to limited loss of the tips of the fingers. The increase hasards of intraarterial injections of dissolved tablets in addicts enhance us to investigate further on earlier and more energetic treatment in these cases.

摘要

本文描述了一例将哌醋甲酯(利他林)溶液自行注射入肱动脉的病例。在12小时内开始的强化治疗,包括反复星状神经节阻滞、动脉内和静脉内注射血管扩张剂以及高压氧治疗,使手指尖端仅有有限的坏死。吸毒者动脉内注射溶解片剂的风险增加,促使我们进一步研究这些病例的早期和更积极的治疗方法。

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