输液外渗致张力性水泡1例

JOURNAL OF NORTH SICHUAN MEDICAL COLLEGE(2004)

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Abstract
1 临床资料 1.1病例:患者,男71岁,因反复咳、痰、喘20+年,再发10天以慢性支气管急性发作,阻塞喘气于2001年10月10日入院.10月24日8pm输液至左上肢前臂内侧,并用衣袖遮住.9pm患者诉上肢疼痛,家属未察看,并采取按摩.10pm肌注氯丙嗪25mg后患者入睡,2ma发现整个手臂钟胀,多个水泡,大小不等,大的有8×8cm.立即停止输液,用空针抽吸水泡,抬高患肢,红外线烤灯烤,何持患肢干燥.用阿米卡星和金因肽交替喷创面,治疗10天后痊愈出院.
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