皮下上腺素在降低高风险患者胸腔排水插入期间出血风险中的作用:一个病例报告
Joshua Martin Manogaran1, Mamoun Ibrahim2
1General Internal Medicine, Hillingdon Hospital, London, GBR.
Cureus
|September 29, 2025
概括
上腺素-利多卡因局部麻醉在严重凝血病患者的胸部排水插入期间有效控制出血. 这个案子突出了上腺素.
科学领域:
- 医学 医学 医学 医学 医学
- 麻醉学 麻醉学
- 肺部病理学 肺部病理学
背景情况:
- 插入胸部排水管对于管理诸如水肺胸部状况至关重要.
- 凝血病患者在侵入性手术期间面临更高的出血风险.
- 上腺素-利多卡因在乳房排水插入期间减少血液的疗效在凝血病患者中没有得到充分证实.
研究的目的:
- 报告在患有严重凝血病的患者中成功使用上腺素-利多卡因局部麻醉剂进行胸腔排水插入.
- 在这种高风险场景中评估上腺素的静血效果.
主要方法:
- 一份病例报告显示,一名37岁的男性患有与酒精有关的肝硬化 (Child-Pugh C),血小板狭窄和INR升高.
- 在局部麻醉下使用上腺素-利多卡因插入18F塞尔丁格胸部排水 (1,200,000).
主要成果:
- 在插入胸部排水管时实现了即时的血静.
- 尽管有严重的凝血病,但没有观察到周围手术出血并发症.
- 通过救命干预,患者的病情得到了稳定.
结论:
- 上腺素-利多卡因可能是一个有价值的工具,以减轻在凝血病患者的侵入性手术期间出血的风险.
- 这一案例表明上腺素在高风险患者进行胸部排水插入时实现血静的潜在作用.
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