- 期刊
EMLA Cream and Lidocaine Local Injection in the Treatment of Extravenous Thiopental Injection - A Case Report
EMLA藥膏及Lidocaine局部注射對Thiopental外滲至組織之治療－病例報告
摘要
Thiopental extravasation which would cause tissue edema and necrosis in rapid progression by chemical reaction and vascular spasm is a potentially serious complication in anesthesia. Early diagnosis and treatment may bear a favorable outcome. A patient who sustained thiopental extravasation and received local injection of lidocaine and local application of EMLA (Eutectic Mixture of Local Anesthetics) for treatment with excellent results is presented hereunder.
並列摘要
2.5% Thiopental意外地注射至靜脈血管之外時，可以造成疼痛，紅腫，組織壞死，甚至壞疽。一旦發生，後果難料。嚴重時病患更需接受植皮治療。本文乃報告一thiopental外滲至組織之病例，其麻醉過程及外滲之處理，特別是EMLA（Eutectic Mixture of Local Anesthetics）藥膏之應用，並參考相關文獻，針對其病理生理，治療方針，藥理作用，做一探討。
延伸閱讀
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