在重大烧伤中进行血管内加热:一种罕见但严重的导管相关并发症
Theodora Ligomenou1, Eirini Nikolaidou1, Argiro Pipinia1
1Plastic and Hand Surgery Department & Burn Unit, "G. Papanikolaou" Hospital, 57010 Thessaloniki, Greece.
European burn journal
|February 20, 2026
概括
严重烧伤患者经常出现低温症. 这一案例突出了烧伤患者血管内温度管理导管切除的罕见并发症,涉及气球脱落和陷入,需要专门干预.
科学领域:
- 烧伤危急护理 烧伤危急护理
- 密集护理医学是密集护理的医学.
- 血管接入装置是指血管接入装置.
背景情况:
- 严重的烧伤伤害会导致大量的热量损失,增加对低温的易感性.
- 烧伤患者的低温与不良结果有关,包括增加死亡率.
- 血管内温度管理 (ITM) 系统用于耐火性低温症,但存在风险.
研究的目的:
- 在严重烧伤患者中报告与ITM导管使用相关的罕见并发症.
- 描述管理ITM导管捕获和气球脱落的多学科方法.
- 提高临床医生对潜在的ITM设备并发症的认识.
主要方法:
- 一个26岁的男性患有广泛的火焰烧伤和吸入伤害的病例报告.
- 通过大腿静脉使用ITM导管用于持续的低温.
- 使用内血管陷技术和静脉支架,管理了导管捕获和气球脱落.
主要成果:
- ITM导管成功地恢复了正常热量,但被困住了.
- 导管去除因气球脱落和被困而复杂化.
- 通过内血管技术成功地检索了脱离的气球碎片和导管.
结论:
- 这是第一个因气球脱落而导致复杂的ITM导管切除在烧伤患者中的记录案例.
- 临床医生必须警ITM设备的并发症,包括机械故障.
- 迅速识别和多学科干预对于管理这种不良事件至关重要.
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