在手术治疗深部感染期间发生意外的危及生命的反应
Evyatar Yefet1, Moshe Shmueli2,3, Navot Givol1,2
1Oral and Maxillofacial Surgery Unit, Soroka University Medical Center, Beersheba, Israel, clalit.co.il.
Case reports in dentistry
|February 26, 2026
概括
在深部部间的povidone-iodine (PVI) 灌可以导致严重的并发症. 这一案例系列表明,在这些狭窄的解剖区域内,稀释的PVI溶液可能更安全用于手术内使用.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 头部和部手术 头部和部手术
- 传染性疾病 传染性疾病
背景情况:
- 牙感染可以扩散到部深处的空间,冒着气道损害和系统性问题的风险.
- 波维 (PVI) 是一种常见的手术内消毒剂,但其在狭窄的头部和部空间中的安全性尚未得到充分证实.
研究的目的:
- 报告手术内PVI灌后的严重并发症在深间的部空间.
- 提高人们对未经稀释的PVI在头部和部手术中的潜在风险的认识.
主要方法:
- 一个病例系列的三个患者经历严重并发症后手术内PVI灌深部空间.
- 对2020年至2024年期间治疗的患者病例的审查.
主要成果:
- 三名患者立即出现严重并发症,包括面部神经麻,需要长时间输管治疗的呼吸道,以及心脏骤停.
- 在暴露于未稀释PVI几分钟后出现并发症,没有先前的过敏史.
结论:
- 在深部空间中未经稀释的PVI灌可能会引起罕见但危及生命的反应,可能是由于透性或细胞毒性作用.
- 在狭窄的头部和部空间使用消毒剂时建议谨慎使用;建议稀释PVI.
- 需要进一步的研究来了解病理生理学,并建立安全的灌协议.
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