从外周周围穿刺部位出动脉出血:一个病例报告
1Department of Anaesthesia, Royal Infirmary of Edinburgh, Scotland, United Kingdom; Department of Obstetric Anaesthesia, Simpsons Centre, Royal Infirmary of Edinburgh, Scotland, United Kingdom.
International journal of obstetric anesthesia
|April 2, 2025
概括
从外周腔穿刺部位表面动脉出血是罕见的. 在这种情况下,囊串和低剂量皮下上腺素的组合有效控制了出血,没有并发症.
科学领域:
- 产科和妇科 产科和妇科
- 麻醉学 麻醉学
- 血管外科 血管外科
背景情况:
- 从外周腔穿刺部位表面动脉出血是一种罕见的并发症.
- 外周止痛药通常用于分娩疼痛管理.
- 外周腔外出血的主要问题是外周腔外出血瘤形成的风险.
研究的目的:
- 报告一例外周穿刺后表面动脉出血的情况.
- 描述这种罕见并发症的有效管理策略.
- 审查现有的文献和对外围注射器相关动脉出血的管理选择.
主要方法:
- 一名27岁的初怀孕妇女接受了外周止痛治疗,以诱导分娩.
- 在注射针后,从外围注射部位出动脉出血.
- 血流被控制,使用袋绳和皮下上腺素.
主要成果:
- 估计发生了500毫升的血液损失.
- 血流被成功控制了,用袋绳和低剂量皮下上腺素 (每侧20微克).
- 没有观察到神经缺陷,心血管变化或表面血液瘤形成.
结论:
- 包带和低剂量皮下上腺素的组合可以有效地管理从外周部位的表面动脉出血.
- 警的孕产妇和胎儿监测至关重要.
- 神经系统的变化需要紧急的成像和神经外科评估,以排除外围膜血瘤.
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