宫外周注射后急性缺血性中风的静脉血栓溶解:一个病例报告
Cattien N Phan1, Muhammad Tar2, Theresa LaBarte1,2
1Department of Neurology, Loma Linda University Medical Center, Loma Linda, USA.
Cureus
|May 1, 2025
概括
内静脉血栓溶解 (IVT) 可以安全地用于急性缺血性中风 (AIS),即使在最近的宫外周注射 (CEI) 后. 这份病例报告表明,在CEI后患有大血管封闭性中风的患者中,IVT在没有并发症的情况下成功进行.
科学领域:
- 神经学 神经学
- 紧急医疗 紧急医疗
- 血管神经学 血管神经学
背景情况:
- 最近的神经动脉手术,如腰部穿刺或外周麻醉,由于脊髓血瘤的风险,被认为是急性缺血性中风 (AIS) 中静脉血栓溶解 (IVT) 的相对禁忌.
- 关于最近接受神经轴切手术的AIS患者进行IVT的安全性数据有限.
相关概念视频
Local Anesthetics: Clinical Application as Intravenous Regional Anesthesia
322
Intravenous regional anesthesia or the Bier block technique is used to anesthetize a specific limb or extremity. It uses exsanguinated or blood-drained vessels to transport local anesthetics or LAs to the peripheral nerve trunks. Lidocaine without vasoconstrictors like epinephrine is most commonly used for this technique. Other drugs used are prilocaine, ropivacaine, and chloroprocaine. Bupivacaine is not recommended for this technique due to its high cardiac toxicity.
One of the advantages of...
One of the advantages of...
322
Local Anesthetics: Clinical Application as Epidural Anesthesia
396
Epidural anesthetics are administered in the fat-filled epidural space, the outermost part of the spinal canal. This technique is commonly employed for pain management and anesthesia during lower abdomen and pelvis surgeries or labor and delivery.
Since epidural anesthetics can be infused through an epidural catheter, all types of drugs, including short-acting ones, can be administered. Chloroprocaine and lidocaine are examples of short and long-duration anesthetics, respectively. Bupivacaine...
Since epidural anesthetics can be infused through an epidural catheter, all types of drugs, including short-acting ones, can be administered. Chloroprocaine and lidocaine are examples of short and long-duration anesthetics, respectively. Bupivacaine...
396


