隐藏的风险:关于药物诱导的鼻穿孔的案例报告
Boddupalli Saaketh1, Sharulatha Raguraman1, J Poongkamali1
1Department of Otorhinolaryngology, Sri Manakula Vinayagar Medical College and Hospital, Puducherry, India.
概括
塔潘塔多尔鼻喷剂可能会导致鼻腔隔膜穿孔,这是一个罕见的并发症. 在一个病例报告中,迅速停止药物,除bridement和医疗治疗导致治愈.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 药理学 药理学是指药理学的学科.
- 案例报告 案例报告
背景情况:
- 鼻腔隔膜穿孔是一种不常见的疾病,原因多种多样.
- 增加Tapentadol鼻喷剂的使用会导致潜在的局部并发症.
- 本报告详细介绍了一种罕见的Tapentadol诱导的鼻腔隔膜穿孔病例.
研究的目的:
- 报告一种由Tapentadol鼻喷剂引起的鼻隔膜穿孔病例.
- 要强调考虑隔膜穿孔中药物诱导病因的重要性.
- 描述这种罕见并发症的诊断和治疗方法.
主要方法:
- 一个34岁的女性患者使用Tapentadol鼻雾剂治疗疼痛的病例报告.
- 进行了临床检查,鼻腔内镜,活检和实验室检查.
- 治疗包括戒药,手术除,抗生素和类固醇.
主要成果:
- 这位患者出现了 palatal fistula,鼻腔阻塞和排泄.
- 鼻腔内镜显示隔膜穿孔和下轮侵蚀.
- 停用塔达尔和治疗导致症状改善和粘膜再生.
结论:
- 塔潘塔多尔鼻喷剂可以诱导鼻腔隔膜穿孔.
- 药物诱导的隔膜穿孔是一种罕见但显著的疾病.
- 完整的病史和临床评估对于诊断至关重要.
相关概念视频
Epistaxis
260
Epistaxis, or nosebleeds, occurs when small, swollen blood vessels in the nasal mucous membrane rupture. Typically, the anterior septum is the primary site of occurrence.
Etiology
Possible causes of this condition include high blood pressure, trauma, low humidity, upper respiratory tract infections, allergies, foreign bodies, nasal inhalation of corticosteroids or illicit drugs, excessive use of decongestant nasal sprays, facial or nasal surgery, anatomic malformation, tumors, or systemic...
Etiology
Possible causes of this condition include high blood pressure, trauma, low humidity, upper respiratory tract infections, allergies, foreign bodies, nasal inhalation of corticosteroids or illicit drugs, excessive use of decongestant nasal sprays, facial or nasal surgery, anatomic malformation, tumors, or systemic...
260
Esophageal Perforation-I: Introduction
170
Esophageal perforation is a severe medical condition characterized by a breach in the integrity of the esophageal wall. This breach can occur due to various factors such as trauma, medical procedures, or underlying diseases. When the esophageal wall is compromised, it allows food, fluids, and digestive juices into the chest cavity or adjacent structures, leading to potential complications and health risks.
The location of esophageal perforation can vary, occurring anywhere along the esophagus....
The location of esophageal perforation can vary, occurring anywhere along the esophagus....
170
Esophageal Perforation-II: Clinical Manifestations and Management
149
Esophageal perforations manifest in various clinical forms, influenced by factors such as the perforation's cause and location (cervical, intrathoracic, or intra-abdominal), the extent of contamination, and potential injury to adjacent mediastinal structures. The timing between the perforation occurrence and treatment initiation also affects the clinical presentation.
Clinical Manifestations:
Clinical Manifestations:
149
Suctioning the Nasopharyngeal Airway
968
Nasopharyngeal suctioning is a procedure to remove secretions from the upper part of the respiratory tract that the patient cannot clear independently. It helps maintain airway patency and prevents complications such as aspiration pneumonia.
Equipment Required
Equipment Required
968
Nose and Nasal Cavity
4.6K
The nose is composed of an observable exterior segment (external nose) and an internal segment within the skull known as the nasal cavity (internal nose). The external nose, visible on the face, consists of a framework of bone and hyaline cartilage enveloped in skin and muscle and lined with a mucous membrane. This structure is supported by the frontal bone, nasal bones, and maxillary bone and is supplemented by a cartilaginous framework comprising the septal nasal cartilage, lateral nasal...
4.6K
Pneumothorax-II
366
Pneumothorax is a medical condition defined by the buildup of air in the pleural space between the lungs and the chest wall. This accumulation of air can lead to partial or complete lung collapse, resulting in a range of clinical manifestations. Understanding the clinical presentation and effective management strategies is crucial for healthcare professionals in providing timely and appropriate care to individuals with pneumothorax.
Clinical Manifestations:
Clinical Manifestations:
366


