在WALANT后晚期发病的数字缺血症:成功地用非标签的Urapidil逆转
Andrea Frey1, Lukas Mathys1, Christine Kammerhofer1
1Hand Surgery, Kantonsspital Basel, Basel, Switzerland.
Handchirurgie, Mikrochirurgie, plastische Chirurgie : Organ der Deutschsprachigen Arbeitsgemeinschaft fur Handchirurgie : Organ der Deutschsprachigen Arbeitsgemeinschaft fur Mikrochirurgie der Peripheren Nerven und Gefasse : Organ der V...
|December 11, 2025
概括
整体清醒 局部麻醉 无护套 (WALANT) 手术可能导致罕见的数字缺血症. 乌拉皮迪尔是一种α-1阻断剂,当芬托胺无法使用时,有效地逆转了这种并发症,恢复了输液和感觉.
科学领域:
- 手术手术手术手术手术
- 药理学 药理学是指药理学的学科.
- 血管并发症 血管并发症
背景情况:
- 广大觉醒局部麻醉无护套 (WALANT) 通过避免镇静和护套,改变了手术.
- 虽然上腺素在WALANT中通常是安全的,但罕见的缺血并发症可能会发生.
研究的目的:
- 在WALANT之后报告延迟发病的数字缺血病例.
- 评估乌拉皮迪尔作为上腺素诱导的血管的替代治疗方法.
主要方法:
- 一名74岁的妇女在杜普伊特伦结节的WALANT手术后出现了数字缺血症.
- 托胺是不可用的;局部urapidil透被管理.
主要成果:
- 乌拉皮迪尔迅速恢复了受影响的手指的输液和感觉.
- 患者经历了完全康复,没有任何持久的后果.
结论:
- 延迟发作的数字缺血是WALANT的一个罕见但严重的并发症.
- 乌拉皮迪尔是一种安全有效的替代品,用于管理上腺素诱导的血管.
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