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药物使用者的子中有多个保留针:一个案例报告
Mohamed El Mehdi Bouzid1,2, Makram Tbini1,2, Mariam Ben Ayed1,2
1Department of Otorhinolaryngology-Head and Neck Surgery, Charles Nicolle Hospital, Tunis, Tunisia.
Ear, nose, & throat journal
|February 19, 2024
概括
在静脉注射药物使用者中,在子中保留多个针是罕见的. 这一案例凸显了怀疑留存的异物的重要性,以管理潜在的并发症并防止针刺伤害.
科学领域:
- 医学案例报告 病例报告
- 传染性疾病 传染性疾病
- 手术管理的手术管理.
背景情况:
- 在静脉注射药物使用者中,保留针是常见的,但多个子异物很少见.
- 这些异物会导致严重的局部和中央并发症,包括致命的结果.
- 该案涉及一个患有人类免疫缺陷病毒 (HIV) 和型肝炎的患者.
研究的目的:
- 报告一个罕见的案例,一个静脉注射药物使用者的子里留下了多个针头.
- 讨论与这些外体相关的诊断和管理挑战.
- 强调怀疑这种患者群体中留存的异物的重要性.
主要方法:
- 一个43岁的男性患有发烧性部胀,有静脉注射药物使用史的病例介绍.
- 诊断成像包括计算机断层扫描 (CT) 扫描以识别异物和并发症.
- 部的手术排水和取出一根破伤的针;由于无症状,其他针被留在现场.
主要成果:
- 脑电图扫描显示,部有多个金属外体 (打破的针头) 的肌肉炎,以及 ipsilateral jugular静脉血栓形成.
- 手术干预成功地排出了,并移除了一个针.
- 患者接受了静脉注射和口服抗生素疗程,导致细胞炎完全消失;剩余的针是无症状的.
结论:
- 在静脉注射药物使用者中,迅速识别和管理留存的异体至关重要.
- 这一案例强调了严重并发症的可能性,包括深感染和血管问题.
- 保持对留存的外体的警有助于预防并发症,并保护卫生保健工作者免受针刺伤害.
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