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在膝关节骨关节炎的内关节颗粒类固醇注射后表面静脉血栓形成
Francesco Sammartino1, Steven M Dean, Michael R Baria
1From the Department of Physical Medicine and Rehabilitation, The Ohio State University, Columbus, Ohio (FS, MRB); and Division of Cardiovascular Medicine, The Ohio State University, Davis Heart Lung Institute, Columbus, Ohio (SMD).
American journal of physical medicine & rehabilitation
|October 30, 2023
概括
膝关节骨关节炎的关节内类固醇注射可能会导致罕见的并发症. 本案例报告详细介绍了一种以前未经记录的风险:表面静脉血栓,提高患者的安全性和知情同意.
科学领域:
- 整形外科 整形外科 整形外科
- 类风湿病学 类风湿病学
- 血管医学 血管医学
背景情况:
- 关节内类固醇注射是膝关节骨关节炎疼痛缓解的常见方法.
- 虽然通常是安全的,但潜在的风险范围从轻微到严重,包括感染和软骨损伤.
- 现有的文献缺乏关于表面静脉血栓症作为并发症的文献.
研究的目的:
- 报告一个新的内关节类固醇注射的并发症:表面静脉血栓.
- 为了提高临床医生对这种罕见的不良事件的认识.
- 为了指导未来注射的管理,并改善知情同意.
主要方法:
- 一个病人的病例介绍,在注射后出现表面静脉血栓症.
- 审查关于关节内类固醇注射并发症的现有文献.
- 讨论临床影响和管理策略.
主要成果:
- 描述了在关节内施用类固醇后出现表面静脉血栓的病例.
- 这种并发症以前没有在医学文献中报道过.
- 这些注射造成的严重不良事件在临床实践中通常很少见.
结论:
- 表面静脉血栓形成是内关节类固醇注射的潜在并发症,以前没有报告.
- 提高意识对于准确的诊断和患者咨询至关重要.
- 这一发现需要对接受这些手术的患者的知情同意程序进行更新.
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