Mole B
Ann Chir Plast Esthet. 1994 Apr;39(2):251-4.
The massive use of hypertonic solution in subcutaneous tissue inevitably causes a necrotic reaction whose severity is directly correlated to the extent of infiltration, involving, as in the present case, all of the abdomen and the anteromedial surface of the thighs. This infiltration was performed for ultrasound treatment as part of liposuction in which the cutaneous swelling must be particularly marked in order to obtain full benefit from this technique. The direct action of ultrasound itself cannot be incriminated in this case. The present case developed was abdominocrural necrosis requiring six weeks of hospitalisation, including twelve days in the intensive care unit and skin cover by split skin grafts after debridement. Although this complication is not specific to liposuction, the quantities of saline regularly infiltrated with this technique carry a high risk of this complication, for which the doctor is inevitable responsible, even if it is due to a confusion on the part of paramedical staff.
在皮下组织大量使用高渗溶液不可避免地会引起坏死反应，其严重程度与浸润范围直接相关，就像本病例一样，累及整个腹部和大腿前内侧表面。这种浸润是作为抽脂术中超声治疗的一部分进行的，在抽脂术中，皮肤肿胀必须特别明显，以便充分受益于该技术。在这种情况下，不能归咎于超声本身的直接作用。本病例发展为腹部和腿部坏死，需要住院六周，包括在重症监护病房住十二天，并在清创后通过植皮进行皮肤覆盖。虽然这种并发症并非抽脂术所特有，但用该技术定期注入的大量盐水会带来这种并发症的高风险，对此医生不可避免地负有责任，即使这是由于医护人员的失误所致。
