Fader D J, Johnson T M
Department of Dermatology, University of Michigan, Ann Arbor 48109-0314, USA.
J Am Acad Dermatol. 1997 Jan;36(1):1-16; quiz 16-8. doi: 10.1016/s0190-9622(97)70319-0.
We review the medical issues and emergencies potentially encountered in the practice of general or surgical dermatology. Traditional guidelines have largely consisted of dated extrapolations from the nondermatologic literature concerning procedures that are primarily irrelevant to dermatology. This article outlines a rational approach to organizing an office emergency plan for anaphylaxis, stroke, status epilepticus, myocardial infarction, and hypertensive crisis. We discuss the literature that has influenced current office behavior regarding endocarditis prophylaxis, the use of electrosurgery with pacemakers, arrhythmogenic drug interactions, vasovagal syncope, lidocaine "allergy," and bleeding complications from oral anticoagulants. Recommendations for managing these issues in a dermatologic context are provided.
我们回顾了普通皮肤科或外科皮肤科实践中可能遇到的医学问题和紧急情况。传统指南主要是从非皮肤科文献中对与皮肤科基本无关的手术进行过时的推断。本文概述了一种合理的方法来制定针对过敏反应、中风、癫痫持续状态、心肌梗死和高血压危象的门诊应急计划。我们讨论了影响当前门诊在感染性心内膜炎预防、起搏器电外科使用、致心律失常药物相互作用、血管迷走性晕厥、利多卡因“过敏”以及口服抗凝剂出血并发症等方面行为的文献。并提供了在皮肤科背景下处理这些问题的建议。
