静脉注射苯妥英引起紫手套综合征的罕见并发症

Q4 Social Sciences
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引用次数: 0

摘要

紫手套综合征是一种相对少见的静脉注射苯妥英的并发症,临床表现为注射部位疼痛、水肿和紫蓝色变色。我们在此报告一例因静脉注射苯妥英引起的紫手套综合征。病例报告描述了一位75岁的男性,他以全身性强直性阵挛性癫痫发作为主诉来到急诊科,并使用注射治疗。苯妥英。随后患者感觉得到改善,4小时后,患者在静脉插管部位远端的左手和手腕出现疼痛和肿胀,水肿部位出现红紫色变色。左上肢多普勒检查;左侧蜂窝织炎,未见血栓。安抚患者,取下静脉插管,左手抬高,温敷,镇痛药,更换抗癫痫药。像苯妥英这样的药物应该小心处理,以避免将来出现困难。早期发现、快速监测和管理至关重要。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
A Rare Complication of Intravenous Phenytoin Induced Purple Glove Syndrome
Purple Glove Syndrome is a relatively uncommon complication of intravenous phenytoin administration withclinical manifestations of pain, edema, and purple-blue discoloration at the injection site. Here we report a caseof Purple Glove syndrome induced by intravenous administration of phenytoin. The case report describes about a75-year-old male, who presented to the Emergency Department with chief complaints of generalized tonic - clonicseizures for which he was managed with Inj. Phenytoin. Later patient sensorium improved and 4 hours later thepatient had pain and swelling over the left hand and wrist distal to the IV cannula site followed by reddish-purplediscoloration over the edematous site. Left upper limb Doppler was done & it showed left-hand cellulitis with noevidence of thrombus. Then the patient was reassured and treated with removal of IV cannula, left-hand elevation,warmth application, analgesics and change of antiepileptics. Such medications like phenytoin should be handledcarefully to avoid difficulties in the future. Early detection, rapid monitoring, and management are essential.
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来源期刊
自引率
0.00%
发文量
283
期刊介绍: “Indian Journal of Forensic Medicine & Toxicology ” is peer reviewed six monthly journal. It deals with Forensic Medicine, Forensic Science, Toxicology, DNA fingerprinting, sexual medicine and environment medicine. It has been assigned International standard serial No. p-0973-9122 and e-0973-9130. The Journal has been assigned RNI No. DELENG/2008/21789.
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