在脂肪注射后发生脂肪栓塞的急性肢体缺血
Diego Posada-Ríos1, Bárbara Dieck-Gutiérrez2, Eugenia López-Salazar2
1Department of Plastic, Reconstructive and Aesthetic Surgery, Universidad CES, Medellín, Colombia.
Journal of plastic, reconstructive & aesthetic surgery : JPRAS
|August 22, 2025
概括
周围动脉脂肪栓塞是一种罕见的脂肪移植并发症. 这一案例凸显了严重的后果, 包括肢体截肢,
科学领域:
- 血管外科
- 整形外科
- 审美医学
背景情况:
- 自体脂肪移植是一种常见的美容手术.
- 周围动脉脂肪栓塞是一种罕见但严重的并发症.
- 脂肪吸和脂肪注射具有固有的风险.
研究的目的:
- 报告周围动脉脂肪栓塞的情况.
- 强调这种罕见并发症的临床表现和治疗.
- 强调预防措施和及时治疗策略.
主要方法:
- 一个49岁的女性的病例报告.
- 组合脂肪吸和部部注射的描述
- 临床过程,手术干预和结果的记录.
主要成果:
- 患者在手术后90分钟出现了IIB级的下肢缺血症.
- 通过血栓切除术可以检测出脂肪碎片, 但随着癌症的进展,
- 这一结果强调了动脉脂肪栓塞的严重性.
结论:
- 严格遵守注射技术对于预防脂肪栓塞至关重要.
- 在手术期间的超声指导可能有助于安全的脂肪注射.
- 在急性肢体缺血中,迅速的血管转移至关重要.
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