Sánchez-García M L, Riesgo M J, Benito-Alcalá M C, Gutiérrez-Gómez A, Pérez-Pascual C, Rodríguez-Fraile J R, Navia-Roque J
Servicio de Anestesiología y Reanimación, Hospital General Universitario Gregorio Marañón, Madrid.
Rev Esp Anestesiol Reanim. 1997 May;44(5):201-3.
Invasive measurement of blood pressure has many advantages. Although arterial canalization is a low-risk technique of great benefit to the patient, complications must be looked for. We report the case of a man who underwent triple coronary bypass with arterial canalization requiring several punctures to achieve. Two weeks after the procedure the patient showed signs of hand ischemia and acute carpal tunnel syndrome, which evolved favorably after treatment with heparin sodium and prostaglandin E1. We emphasize the importance of an earlier wrist fracture as the predisposing factor for both conditions and the need to examine collateral circulation in the hand and look for carpal tunnel syndrome before canalization.
有创血压测量有许多优点。尽管动脉置管是一种对患者益处很大的低风险技术，但仍必须留意并发症。我们报告一例男性患者，其接受了冠状动脉搭桥术并进行动脉置管，该过程需要多次穿刺才能完成。术后两周，患者出现手部缺血和急性腕管综合征的症状，经肝素钠和前列腺素E1治疗后病情好转。我们强调早期腕部骨折作为这两种情况的诱发因素的重要性，以及在置管前检查手部侧支循环和排查腕管综合征的必要性。
